Provider Demographics
NPI:1598815854
Name:GREENBERG, DANIEL (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:GREENBERG
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 1:2681 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1600
Mailing Address - Country:US
Mailing Address - Phone:609-586-4900
Mailing Address - Fax:609-586-4930
Practice Address - Street 1:2681 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE B3
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1600
Practice Address - Country:US
Practice Address - Phone:609-586-4900
Practice Address - Fax:609-586-4930
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI018016001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice