Provider Demographics
NPI:1003851387
Name:SEVER, DANIELA (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:SEVER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 MAIN STREET
Mailing Address - Street 2:UNIT 18
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190
Mailing Address - Country:US
Mailing Address - Phone:617-328-4050
Mailing Address - Fax:617-328-7616
Practice Address - Street 1:851 MAIN ST STE 18
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1615
Practice Address - Country:US
Practice Address - Phone:617-328-4050
Practice Address - Fax:617-328-7616
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2019-09-05
Deactivation Date:2019-07-24
Deactivation Code:
Reactivation Date:2019-08-21
Provider Licenses
StateLicense IDTaxonomies
MA15075122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist