Provider Demographics
NPI:1336280775
Name:NOSAL, DANIEL ANTHONY (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ANTHONY
Last Name:NOSAL
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 1:313 STATE ROUTE 839
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:PA
Mailing Address - Zip Code:16222
Mailing Address - Country:US
Mailing Address - Phone:724-783-2141
Mailing Address - Fax:724-783-6602
Practice Address - Street 1:313 STATE ROUTE 839
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:PA
Practice Address - Zip Code:16222
Practice Address - Country:US
Practice Address - Phone:724-783-2141
Practice Address - Fax:724-783-6602
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026623L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist