Provider Demographics
NPI:1801840103
Name:ADLER, DANIEL HOWARD (DMD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:HOWARD
Last Name:ADLER
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:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-0088
Mailing Address - Country:US
Mailing Address - Phone:508-376-5588
Mailing Address - Fax:508-376-2809
Practice Address - Street 1:1100 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-0088
Practice Address - Country:US
Practice Address - Phone:508-376-5588
Practice Address - Fax:508-376-2809
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15831122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist