Provider Demographics
NPI:1710383591
Name:ANTEE, DANIEL WARREN (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:WARREN
Last Name:ANTEE
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 1:102 CHRISTIE DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-5567
Mailing Address - Country:US
Mailing Address - Phone:936-634-6110
Mailing Address - Fax:
Practice Address - Street 1:102 CHRISTIE DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-5567
Practice Address - Country:US
Practice Address - Phone:936-634-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice