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Active NPI 1417048182 Individual Practitioner Male Practitioner

Michael David Mcdaniel , DMDPA

Dentist - General Practice • Indianola, MS

Professional Overview & Biography Verified Profile Summary

Michael Mcdaniel, DMDPA is a registered healthcare professional specializing in Dentist - General Practice in Indianola, MS. Practice services are available at 501 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Park Ave

Indianola, MS 387512355

Telephone 6628871272
Fax 6628876453
Associated Practice Facility / Clinic
🏢 Family Dental Care Facility NPI 1679063176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Indianola, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Indianola, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 273893

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00660041 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1477073278

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 501 PARK AVE, INDIANOLA, MS 387512355 (Tel: 6628871272)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 972, 501 PARK AVENUE, INDIANOLA, MS 387510972 (Tel: 6628871272)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL MCDANIEL, D.M.D.P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #273893 in MS)

🟢
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417048182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 972, 501 Park Avenue

Indianola, MS 387510972

Phone: 6628871272

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.