Provider Demographics
NPI:1205097029
Name:CONNORS, DANIEL P (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:CONNORS
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 1:120 GREENWAY CROSS CT
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53508-8800
Mailing Address - Country:US
Mailing Address - Phone:608-424-3222
Mailing Address - Fax:608-424-3244
Practice Address - Street 1:120 GREENWAY CROSS CT
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53508-8800
Practice Address - Country:US
Practice Address - Phone:608-424-3222
Practice Address - Fax:608-424-3244
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6014-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice