Provider Demographics
NPI:1528146792
Name:DANAHAY, MICHAEL CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHRISTOPHER
Last Name:DANAHAY
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 1:3004 N 194TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3971
Mailing Address - Country:US
Mailing Address - Phone:402-415-7406
Mailing Address - Fax:
Practice Address - Street 1:14211 ARBOR ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2312
Practice Address - Country:US
Practice Address - Phone:402-614-6300
Practice Address - Fax:402-614-5454
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE64961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice