Provider Demographics
NPI:1598043986
Name:ANZEL, DAVID DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DANIEL
Last Name:ANZEL
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 1:602 RIVERWAY PL STE A
Mailing Address - Street 2:BEDFORD COMMONS
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6752
Mailing Address - Country:US
Mailing Address - Phone:603-634-0055
Mailing Address - Fax:
Practice Address - Street 1:602 RIVERWAY PL STE A
Practice Address - Street 2:BEDFORD COMMONS
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6752
Practice Address - Country:US
Practice Address - Phone:603-634-0055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH 25731223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics