Provider Demographics
NPI:1851500789
Name:MEARA, DANIEL J (MD, DMD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:MEARA
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W 14TH ST
Mailing Address - Street 2:WILMINGTON HOSPITAL, SUITE 2W44
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1013
Mailing Address - Country:US
Mailing Address - Phone:302-428-5730
Mailing Address - Fax:302-428-5733
Practice Address - Street 1:501 W 14TH ST
Practice Address - Street 2:WILMINGTON HOSPITAL, SUITE 2W44
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-320-5730
Practice Address - Fax:302-320-5733
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG3-00003741223S0112X
AL260341223S0112X
DEC1-0009455204E00000X
DEG6-00012111223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery