Provider Demographics
NPI:1962593855
Name:GREISING, DANIEL MENZE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MENZE
Last Name:GREISING
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N SMITH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2488
Mailing Address - Country:US
Mailing Address - Phone:847-358-3939
Mailing Address - Fax:847-358-1462
Practice Address - Street 1:220 N SMITH ST STE 125
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2488
Practice Address - Country:US
Practice Address - Phone:847-358-3939
Practice Address - Fax:847-358-1462
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210019531223P0300X
IL0190223701223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics