Provider Demographics
NPI:1316559560
Name:DANAHY, EMILY (DDS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:DANAHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 AVONDOWN RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0926
Mailing Address - Country:US
Mailing Address - Phone:972-955-9108
Mailing Address - Fax:
Practice Address - Street 1:571 FM 548 STE 114
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6435
Practice Address - Country:US
Practice Address - Phone:972-552-9914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX365741223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice