Provider Demographics
NPI:1134300684
Name:PIERRE, DANIEL J (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:PIERRE
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 CASS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2909
Mailing Address - Country:US
Mailing Address - Phone:831-373-2128
Mailing Address - Fax:831-373-5579
Practice Address - Street 1:880 CASS ST STE 200
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2909
Practice Address - Country:US
Practice Address - Phone:831-373-2128
Practice Address - Fax:831-373-5579
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563131223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics