Provider Demographics
NPI:1902948342
Name:ASAY, DANIEL WHITTLE (DMD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:WHITTLE
Last Name:ASAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E. 400 S.
Mailing Address - Street 2:STE #3
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663
Mailing Address - Country:US
Mailing Address - Phone:801-489-9494
Mailing Address - Fax:801-489-8678
Practice Address - Street 1:330 E. 400 S
Practice Address - Street 2:STE #3
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663
Practice Address - Country:US
Practice Address - Phone:801-489-9494
Practice Address - Fax:801-489-8678
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT553122300000X
UT5861231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT$$$$$$$$$001Medicaid