Provider Demographics
NPI:1376521211
Name:DANNER, DEE JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEE
Middle Name:JAMES
Last Name:DANNER
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 1:4587 MALLARD POINT WAY
Mailing Address - Street 2:#20
Mailing Address - City:DUBLIN
Mailing Address - State:VA
Mailing Address - Zip Code:24084-6046
Mailing Address - Country:US
Mailing Address - Phone:540-674-0106
Mailing Address - Fax:
Practice Address - Street 1:4587 MALLARD POINT WAY
Practice Address - Street 2:#20
Practice Address - City:DUBLIN
Practice Address - State:VA
Practice Address - Zip Code:24084-6046
Practice Address - Country:US
Practice Address - Phone:540-674-0106
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010053441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice