Provider Demographics
NPI:1083651970
Name:LANSKY, DARAN FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARAN
Middle Name:FRANCIS
Last Name:LANSKY
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 1:25571 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-0905
Mailing Address - Country:US
Mailing Address - Phone:248-399-4742
Mailing Address - Fax:248-399-4748
Practice Address - Street 1:25571 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0905
Practice Address - Country:US
Practice Address - Phone:248-399-4742
Practice Address - Fax:248-399-4748
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010158261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice