Provider Demographics
NPI:1073532073
Name:CHIARA, DANIEL C (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
Last Name:CHIARA
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 1:2935 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1911
Mailing Address - Country:US
Mailing Address - Phone:520-327-4192
Mailing Address - Fax:520-327-1294
Practice Address - Street 1:2935 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1911
Practice Address - Country:US
Practice Address - Phone:520-327-4192
Practice Address - Fax:520-327-1294
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ61011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice