Provider Demographics
NPI:1942911672
Name:DALI, NADINE (DDS)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:DALI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4875 CHARING CROSS RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-3679
Mailing Address - Country:US
Mailing Address - Phone:248-504-9141
Mailing Address - Fax:
Practice Address - Street 1:6185 STATE ROUTE 30 # B
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6408
Practice Address - Country:US
Practice Address - Phone:878-295-8948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0439021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice