Provider Demographics
NPI:1629160726
Name:HASLEY, DANIEL PAUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PAUL
Last Name:HASLEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 SIMPSON HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2818
Mailing Address - Country:US
Mailing Address - Phone:412-751-0755
Mailing Address - Fax:412-751-3374
Practice Address - Street 1:510 SIMPSON HOWELL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2818
Practice Address - Country:US
Practice Address - Phone:412-751-0755
Practice Address - Fax:412-751-3374
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026487L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice