Provider Demographics
NPI:1922187798
Name:DINSE, DANIEL M (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:DINSE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 STATE STREET
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:EAST PETERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17520
Mailing Address - Country:US
Mailing Address - Phone:717-396-0330
Mailing Address - Fax:
Practice Address - Street 1:1890 STATE STREET
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520
Practice Address - Country:US
Practice Address - Phone:717-396-0330
Practice Address - Fax:805-550-1217
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029710L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice