Provider Demographics
NPI:1326351842
Name:KRENZ, DANIEL DOUGLAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:DOUGLAS
Last Name:KRENZ
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 1:2150 FM 2920 RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3680
Mailing Address - Country:US
Mailing Address - Phone:281-350-1837
Mailing Address - Fax:
Practice Address - Street 1:2150 FM 2920 RD
Practice Address - Street 2:SUITE A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3680
Practice Address - Country:US
Practice Address - Phone:281-350-1837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice