Provider Demographics
NPI:1437284155
Name:DAILY, RAYMOND BERNARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:BERNARD
Last Name:DAILY
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 1:680 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-9776
Mailing Address - Country:US
Mailing Address - Phone:989-652-7744
Mailing Address - Fax:
Practice Address - Street 1:595 N CENTER RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-5871
Practice Address - Country:US
Practice Address - Phone:989-793-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010144881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice