Provider Demographics
NPI:1316944796
Name:DOYLE, DANIEL CHARLES (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHARLES
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 HORSE POUND RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4706
Mailing Address - Country:US
Mailing Address - Phone:845-225-5953
Mailing Address - Fax:
Practice Address - Street 1:172 ROUTE 311
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-5215
Practice Address - Country:US
Practice Address - Phone:845-225-3406
Practice Address - Fax:845-225-7302
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0350531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice