Provider Demographics
NPI:1538211248
Name:POPE, DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:POPE
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 1:445 JACKSON AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5257
Mailing Address - Country:US
Mailing Address - Phone:630-961-5851
Mailing Address - Fax:630-961-5898
Practice Address - Street 1:1891 BAY SCOTT CIR STE 113
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1138
Practice Address - Country:US
Practice Address - Phone:630-961-5851
Practice Address - Fax:630-961-5898
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019025061122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist