Provider Demographics
NPI:1972856052
Name:DANIEL J. FAY, D.M.D., P.A.
Entity Type:Organization
Organization Name:DANIEL J. FAY, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:TURNBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-734-8101
Mailing Address - Street 1:748 S NEW ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3573
Mailing Address - Country:US
Mailing Address - Phone:302-734-8101
Mailing Address - Fax:302-734-1857
Practice Address - Street 1:748 S NEW ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3573
Practice Address - Country:US
Practice Address - Phone:302-734-8101
Practice Address - Fax:302-734-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-0001323122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty