Provider Demographics
NPI:1306061841
Name:DANIEL J BREUER, DMD PC
Entity type:Organization
Organization Name:DANIEL J BREUER, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BREUER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-675-1885
Mailing Address - Street 1:15 W MONUMENT AVE
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-3107
Mailing Address - Country:US
Mailing Address - Phone:215-675-1885
Mailing Address - Fax:215-682-7212
Practice Address - Street 1:15 W MONUMENT AVE
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-3107
Practice Address - Country:US
Practice Address - Phone:215-675-1885
Practice Address - Fax:215-682-7212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019301L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental