Provider Demographics
NPI:1184919045
Name:TAWK, DANY (DMD)
Entity type:Individual
Prefix:DR
First Name:DANY
Middle Name:
Last Name:TAWK
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 1:120 CLAPBOARD RIDGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3625
Mailing Address - Country:US
Mailing Address - Phone:203-744-5941
Mailing Address - Fax:
Practice Address - Street 1:120 CLAPBOARD RIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-3625
Practice Address - Country:US
Practice Address - Phone:203-744-5941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT105391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice