Provider Demographics
NPI:1992217368
Name:PIANO, DANIELLE A (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:A
Last Name:PIANO
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 81ST ST
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5985
Mailing Address - Country:US
Mailing Address - Phone:630-400-1812
Mailing Address - Fax:
Practice Address - Street 1:55 S COMMONS DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4432
Practice Address - Country:US
Practice Address - Phone:630-585-1155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190314411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics