Provider Demographics
NPI:1871830497
Name:FINE, DANIEL H (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:H
Last Name:FINE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:185 S ORANGE AVE
Mailing Address - Street 2:UNIVERSITY HEALTH SCIENCES BLD, RM C-636
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2757
Mailing Address - Country:US
Mailing Address - Phone:973-972-3728
Mailing Address - Fax:973-972-0045
Practice Address - Street 1:185 S ORANGE AVE
Practice Address - Street 2:UNIVERSITY HEALTH SCIENCES BLD, RM C-636
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2757
Practice Address - Country:US
Practice Address - Phone:973-972-3728
Practice Address - Fax:973-972-0045
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ016221223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics