Provider Demographics
NPI:1417096835
Name:SINDELAR, DANIEL L (DMD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:SINDELAR
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 1:11225 TESSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-6921
Mailing Address - Country:US
Mailing Address - Phone:314-849-1998
Mailing Address - Fax:314-849-2003
Practice Address - Street 1:11225 TESSON FERRY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-6921
Practice Address - Country:US
Practice Address - Phone:314-849-1998
Practice Address - Fax:314-849-2003
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO135731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice