Provider Demographics
NPI:1407237928
Name:EISINGER, DANIEL STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:STEVEN
Last Name:EISINGER
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 1:15300 SILVER PKWY
Mailing Address - Street 2:APT 202
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3477
Mailing Address - Country:US
Mailing Address - Phone:810-569-1574
Mailing Address - Fax:
Practice Address - Street 1:1459 N BELSAY RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1604
Practice Address - Country:US
Practice Address - Phone:810-743-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021548122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist