Provider Demographics
NPI:1508113812
Name:DEUTSCH, DANIEL JEFFREY (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JEFFREY
Last Name:DEUTSCH
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 1:1430 K STREET, NW
Mailing Address - Street 2:8 FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005
Mailing Address - Country:US
Mailing Address - Phone:202-223-6630
Mailing Address - Fax:202-467-0690
Practice Address - Street 1:1430 K STREET, NW
Practice Address - Street 2:8 FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005
Practice Address - Country:US
Practice Address - Phone:202-223-6630
Practice Address - Fax:202-467-0690
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC28541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice