Provider Demographics
NPI:1982866349
Name:DANIYAR, VAL ALEXANDER (DMD)
Entity Type:Individual
Prefix:
First Name:VAL
Middle Name:ALEXANDER
Last Name:DANIYAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 GOODLETTE FRANK RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5458
Mailing Address - Country:US
Mailing Address - Phone:239-261-8200
Mailing Address - Fax:239-263-3210
Practice Address - Street 1:681 GOODLETTE FRANK RD
Practice Address - Street 2:SUITE 110
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5458
Practice Address - Country:US
Practice Address - Phone:239-261-8200
Practice Address - Fax:239-263-3210
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 16149122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist