Provider Demographics
NPI:1841306750
Name:HEALY, DANIEL JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:HEALY
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 1:8700 WEST 95TH STREET
Mailing Address - Street 2:SUITE #1
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2727
Mailing Address - Country:US
Mailing Address - Phone:708-430-2266
Mailing Address - Fax:
Practice Address - Street 1:8700 WEST 95TH STREET
Practice Address - Street 2:SUITE #1
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2727
Practice Address - Country:US
Practice Address - Phone:708-430-2266
Practice Address - Fax:708-430-5264
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice