Provider Demographics
NPI:1407024946
Name:DANIEL J PIERRE DDS, MS, INC
Entity Type:Organization
Organization Name:DANIEL J PIERRE DDS, MS, INC
Other - Org Name:CENTRAL COAST ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUD
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:831-373-2128
Mailing Address - Street 1:880 CASS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2909
Mailing Address - Country:US
Mailing Address - Phone:831-373-2128
Mailing Address - Fax:831-373-5579
Practice Address - Street 1:880 CASS ST STE 200
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2909
Practice Address - Country:US
Practice Address - Phone:831-373-2128
Practice Address - Fax:831-373-5579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563131223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty