Provider Demographics
NPI:1164610655
Name:KAPLAN, DANIEL ELLIOT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ELLIOT
Last Name:KAPLAN
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 1:1313 N RITCHIE CT
Mailing Address - Street 2:1402
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-2175
Mailing Address - Country:US
Mailing Address - Phone:773-451-6904
Mailing Address - Fax:
Practice Address - Street 1:6143 N NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-2127
Practice Address - Country:US
Practice Address - Phone:773-792-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics