Provider Demographics
NPI:1790888717
Name:NAIFEH, DANNY JOE (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:JOE
Last Name:NAIFEH
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1751
Mailing Address - Country:US
Mailing Address - Phone:201-384-4440
Mailing Address - Fax:201-387-8087
Practice Address - Street 1:59 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1751
Practice Address - Country:US
Practice Address - Phone:201-384-4440
Practice Address - Fax:201-387-8087
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ165911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics