Provider Demographics
NPI:1679607220
Name:DANICK, WARREN (DDS)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:
Last Name:DANICK
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 1:7825 TUCKERMAN LANE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3241
Mailing Address - Country:US
Mailing Address - Phone:301-299-7757
Mailing Address - Fax:301-299-4163
Practice Address - Street 1:7825 TUCKERMAN LANE
Practice Address - Street 2:SUITE 207
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3241
Practice Address - Country:US
Practice Address - Phone:301-299-7757
Practice Address - Fax:301-299-4163
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist