Provider Demographics
NPI:1437875705
Name:CRESSMAN, DANIEL JACKSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JACKSON
Last Name:CRESSMAN
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 1:4220 N BERKELEY AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-7422
Mailing Address - Country:US
Mailing Address - Phone:720-280-1929
Mailing Address - Fax:
Practice Address - Street 1:155 W EL PORTAL DR STE A
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2856
Practice Address - Country:US
Practice Address - Phone:209-720-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist