Provider Demographics
NPI:1003302142
Name:CIABATTONI, DANIEL FREDERICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FREDERICK
Last Name:CIABATTONI
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 1:1533 FARR RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2807
Mailing Address - Country:US
Mailing Address - Phone:610-334-7978
Mailing Address - Fax:
Practice Address - Street 1:4906 PENN AVE
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-8609
Practice Address - Country:US
Practice Address - Phone:610-678-8395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041790122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist