Provider Demographics
NPI:1790791135
Name:DANIEL C. DOYLE, D.M.D., P.C.
Entity Type:Organization
Organization Name:DANIEL C. DOYLE, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:845-225-3406
Mailing Address - Street 1:172 ROUTE 311
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-5215
Mailing Address - Country:US
Mailing Address - Phone:845-225-3406
Mailing Address - Fax:845-225-7302
Practice Address - Street 1:172 ROUTE 311
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-5215
Practice Address - Country:US
Practice Address - Phone:845-225-3406
Practice Address - Fax:845-225-7302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0350531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1316944796OtherNPI NUMBER - TYPE 1