Provider Demographics
NPI:1861115354
Name:DANIEL A LEPRI, DDS PC
Entity type:Organization
Organization Name:DANIEL A LEPRI, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECEPTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-771-6440
Mailing Address - Street 1:27730 GRATIOT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4885
Mailing Address - Country:US
Mailing Address - Phone:586-771-6440
Mailing Address - Fax:
Practice Address - Street 1:27730 GRATIOT AVE STE A
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4885
Practice Address - Country:US
Practice Address - Phone:586-771-6440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental