Provider Demographics
NPI:1730780222
Name:MYERS, DANIEL J (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:MYERS
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 1:623 N GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-2526
Mailing Address - Country:US
Mailing Address - Phone:717-434-8978
Mailing Address - Fax:
Practice Address - Street 1:450 W MARKET ST
Practice Address - Street 2:
Practice Address - City:HALLAM
Practice Address - State:PA
Practice Address - Zip Code:17406-1024
Practice Address - Country:US
Practice Address - Phone:717-755-0237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS042946122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist