Provider Demographics
NPI:1942352646
Name:PIERSALL, IOANA DANIELA (DMD)
Entity Type:Individual
Prefix:DR
First Name:IOANA
Middle Name:DANIELA
Last Name:PIERSALL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 20
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4454
Mailing Address - Country:US
Mailing Address - Phone:301-695-6001
Mailing Address - Fax:301-695-6116
Practice Address - Street 1:198 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 20
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4454
Practice Address - Country:US
Practice Address - Phone:301-695-6001
Practice Address - Fax:301-695-6116
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133551223G0001X
CODEN.002049141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice