Provider Demographics
NPI:1063446581
Name:WHITEMAN, DANIEL MAURICE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MAURICE
Last Name:WHITEMAN
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 1:8 ALTON PL
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6447
Mailing Address - Country:US
Mailing Address - Phone:617-731-4746
Mailing Address - Fax:617-731-4745
Practice Address - Street 1:8 ALTON PL
Practice Address - Street 2:SUITE ONE
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6447
Practice Address - Country:US
Practice Address - Phone:617-731-4746
Practice Address - Fax:617-731-4745
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA185671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice