Provider Demographics
NPI:1194839100
Name:GINDI, DANIEL MAURICE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MAURICE
Last Name:GINDI
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 1:8600 ALEXANDRIA DR
Mailing Address - Street 2:SUITE #B
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056
Mailing Address - Country:US
Mailing Address - Phone:330-467-2763
Mailing Address - Fax:330-467-2768
Practice Address - Street 1:8600 ALEXANDRIA DR
Practice Address - Street 2:SUITE #B
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056
Practice Address - Country:US
Practice Address - Phone:330-467-2763
Practice Address - Fax:330-467-2768
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21417122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2496035Medicaid