Provider Demographics
NPI:1336353218
Name:FINN, DANIEL DAVID II (DDS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:DAVID
Last Name:FINN
Suffix:II
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:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:IA
Mailing Address - Zip Code:50220
Mailing Address - Country:US
Mailing Address - Phone:515-465-2633
Mailing Address - Fax:515-465-5719
Practice Address - Street 1:2605 IOWA ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:IA
Practice Address - Zip Code:50220
Practice Address - Country:US
Practice Address - Phone:515-465-2633
Practice Address - Fax:515-465-5719
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-24
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-07-24
Provider Licenses
StateLicense IDTaxonomies
IA70231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2220913Medicaid
IA2220913Medicaid