Provider Demographics
NPI:1760225973
Name:DANIELLE J KERR DDS LLC
Entity type:Organization
Organization Name:DANIELLE J KERR DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-514-0644
Mailing Address - Street 1:7198 ACER CT
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-2870
Mailing Address - Country:US
Mailing Address - Phone:301-514-0644
Mailing Address - Fax:
Practice Address - Street 1:401 W 7TH ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4505
Practice Address - Country:US
Practice Address - Phone:301-825-9177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental