Provider Demographics
NPI:1801080510
Name:THOMAS, DANNY L (DDS)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:L
Last Name:THOMAS
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 1:601 S EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1233
Mailing Address - Country:US
Mailing Address - Phone:714-778-0700
Mailing Address - Fax:714-778-0602
Practice Address - Street 1:601 S EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-1233
Practice Address - Country:US
Practice Address - Phone:714-778-0700
Practice Address - Fax:714-778-0602
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice