Provider Demographics
NPI:1508878356
Name:METZ, DANIEL A (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:A
Last Name:METZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:A
Other - Last Name:METZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS LLC
Mailing Address - Street 1:838 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:NJ
Mailing Address - Zip Code:08742
Mailing Address - Country:US
Mailing Address - Phone:732-899-4420
Mailing Address - Fax:
Practice Address - Street 1:838 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:NJ
Practice Address - Zip Code:08742
Practice Address - Country:US
Practice Address - Phone:732-899-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI148791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice