Provider Demographics
NPI:1285139915
Name:BAUMAN, DANIELLE VOLANTE (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:VOLANTE
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LYNN
Other - Last Name:VOLANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:355 COLERAINE PL
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5572
Mailing Address - Country:US
Mailing Address - Phone:678-761-3277
Mailing Address - Fax:
Practice Address - Street 1:3535 ROSWELL RD STE 55
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8828
Practice Address - Country:US
Practice Address - Phone:770-321-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000109751223G0001X
GADN015644390200000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program