Provider Demographics
NPI:1457475808
Name:DANIEL G. VERY, DMD MDS INC
Entity Type:Organization
Organization Name:DANIEL G. VERY, DMD MDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MDS
Authorized Official - Phone:330-629-9399
Mailing Address - Street 1:888 BOARDMAN CANFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4276
Mailing Address - Country:US
Mailing Address - Phone:330-629-9399
Mailing Address - Fax:
Practice Address - Street 1:888 BOARDMAN CANFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4276
Practice Address - Country:US
Practice Address - Phone:330-629-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH202711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty