Provider Demographics
NPI:1578292652
Name:KERR, DANIELLE JOY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:JOY
Last Name:KERR
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 1:7198 ACER CT
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-2870
Mailing Address - Country:US
Mailing Address - Phone:301-514-0644
Mailing Address - Fax:
Practice Address - Street 1:807 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:MD
Practice Address - Zip Code:21769-7722
Practice Address - Country:US
Practice Address - Phone:301-293-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17476122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist