Provider Demographics
NPI:1295384378
Name:SPLINTER, DANIEL CLAYTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CLAYTON
Last Name:SPLINTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11765 LOOP RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-4044
Mailing Address - Country:US
Mailing Address - Phone:409-284-2034
Mailing Address - Fax:
Practice Address - Street 1:247 SILVER LAKE RD
Practice Address - Street 2:
Practice Address - City:CHURCH HILL
Practice Address - State:TN
Practice Address - Zip Code:37642-3516
Practice Address - Country:US
Practice Address - Phone:423-357-5341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11110122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist