Provider Demographics
NPI:1649313461
Name:HAUS, DANIEL A (DDS,PA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:A
Last Name:HAUS
Suffix:
Gender:M
Credentials:DDS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4270 LAKE IN THE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2501
Mailing Address - Country:US
Mailing Address - Phone:352-596-1561
Mailing Address - Fax:352-596-8407
Practice Address - Street 1:4270 LAKE IN THE WOODS DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2501
Practice Address - Country:US
Practice Address - Phone:352-596-1561
Practice Address - Fax:352-596-8407
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL53941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice