Provider Demographics
NPI:1518253509
Name:HERSCHLER, DANIELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:HERSCHLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E BERKELEY ST
Mailing Address - Street 2:APT 304
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2375
Mailing Address - Country:US
Mailing Address - Phone:301-775-6992
Mailing Address - Fax:
Practice Address - Street 1:119 WINDSOR ST STE 2
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3648
Practice Address - Country:US
Practice Address - Phone:617-665-3728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL11284122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist