Provider Demographics
NPI:1336284603
Name:FINK, DANIEL W (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
Last Name:FINK
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 1:2505 SILVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3707
Mailing Address - Country:US
Mailing Address - Phone:302-475-6900
Mailing Address - Fax:302-475-8582
Practice Address - Street 1:2505 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3707
Practice Address - Country:US
Practice Address - Phone:302-475-6900
Practice Address - Fax:302-475-8582
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1034122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000023199Medicaid
DE184882OtherUNITED CONCORDIA