Provider Demographics
NPI:1013064294
Name:KRANTZ, DANIEL B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:KRANTZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CEDAR GROVE LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1331
Mailing Address - Country:US
Mailing Address - Phone:732-469-8083
Mailing Address - Fax:732-469-8393
Practice Address - Street 1:7 CEDAR GROVE LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1331
Practice Address - Country:US
Practice Address - Phone:732-469-8083
Practice Address - Fax:732-469-8393
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ110221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice