Provider Demographics
NPI:1285791988
Name:DAVID E DANN DMD INC
Entity type:Organization
Organization Name:DAVID E DANN DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DANN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:818-996-4500
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:SUITE 711
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2804
Mailing Address - Country:US
Mailing Address - Phone:818-996-4500
Mailing Address - Fax:818-996-4422
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:SUITE 711
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2804
Practice Address - Country:US
Practice Address - Phone:818-996-4500
Practice Address - Fax:818-996-4422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty