Provider Demographics
NPI:1013809557
Name:DANYAL ISRAIL DENTAL PLLC
Entity type:Organization
Organization Name:DANYAL ISRAIL DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANYAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-846-3744
Mailing Address - Street 1:720 N OLD WOODWARD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-1342
Mailing Address - Country:US
Mailing Address - Phone:248-664-5735
Mailing Address - Fax:
Practice Address - Street 1:720 N OLD WOODWARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-1342
Practice Address - Country:US
Practice Address - Phone:248-664-5735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental