Provider Demographics
NPI:1730283441
Name:RANGEL, DANIEL D (DDS MDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:RANGEL
Suffix:
Gender:M
Credentials:DDS MDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 PERRY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1421
Mailing Address - Country:US
Mailing Address - Phone:810-695-8601
Mailing Address - Fax:810-695-0324
Practice Address - Street 1:500 PERRY RD
Practice Address - Street 2:STE 201
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1421
Practice Address - Country:US
Practice Address - Phone:810-695-8601
Practice Address - Fax:810-695-0324
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI0159771223X0400X
TX259341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics