Provider Demographics
NPI:1295745248
Name:KALER, DANIEL LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LYNN
Last Name:KALER
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 1:4224 SERGEANT RD
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-4600
Mailing Address - Country:US
Mailing Address - Phone:712-276-2766
Mailing Address - Fax:712-276-1707
Practice Address - Street 1:4224 SERGEANT RD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4600
Practice Address - Country:US
Practice Address - Phone:712-276-2766
Practice Address - Fax:712-276-1707
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA73201223X0400X
NE57091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1070722Medicaid
NE42144026800Medicaid