Provider Demographics
NPI:1598849937
Name:DEMARCO, DANIEL LOUIS (DDS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LOUIS
Last Name:DEMARCO
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 1:4774 OLD WM PENN HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-2011
Mailing Address - Country:US
Mailing Address - Phone:724-325-3770
Mailing Address - Fax:
Practice Address - Street 1:4774 OLD WM PENN HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-2011
Practice Address - Country:US
Practice Address - Phone:724-325-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019335L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist