Provider Demographics
NPI:1003887050
Name:NEUMANN, DANIEL JAY (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JAY
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WRAY
Mailing Address - State:CO
Mailing Address - Zip Code:80758-1725
Mailing Address - Country:US
Mailing Address - Phone:970-332-4817
Mailing Address - Fax:970-332-4074
Practice Address - Street 1:416 MAIN ST
Practice Address - Street 2:
Practice Address - City:WRAY
Practice Address - State:CO
Practice Address - Zip Code:80758-1725
Practice Address - Country:US
Practice Address - Phone:970-332-4817
Practice Address - Fax:970-332-4074
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO61581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice