Provider Demographics
NPI:1568418168
Name:EBB, DANIEL KENT (DDS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:KENT
Last Name:EBB
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 1:101 FORREST CROSSING BLVD.
Mailing Address - Street 2:SUITE 105B
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:615-794-4226
Mailing Address - Fax:615-794-7966
Practice Address - Street 1:101 FORREST CROSSING BLVD.
Practice Address - Street 2:SUITE 105B
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:615-794-4226
Practice Address - Fax:615-794-7966
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52621223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics