Provider Demographics
NPI:1427334119
Name:KRESS, DANIEL J (DDS)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:KRESS
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 1:823 S ADAMS, HWY 421S
Mailing Address - Street 2:PO BOX 685
Mailing Address - City:VERSAILLES
Mailing Address - State:IN
Mailing Address - Zip Code:47042
Mailing Address - Country:US
Mailing Address - Phone:812-689-5151
Mailing Address - Fax:812-689-6303
Practice Address - Street 1:823 S ADAMS, HWY 421S
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:IN
Practice Address - Zip Code:47042
Practice Address - Country:US
Practice Address - Phone:812-689-5151
Practice Address - Fax:812-689-6303
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011608A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist