Provider Demographics
NPI:1992143515
Name:BOVE, DANIEL ROBINSON (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROBINSON
Last Name:BOVE
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 1:1310 34TH ST N
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590-6570
Mailing Address - Country:US
Mailing Address - Phone:409-948-1384
Mailing Address - Fax:
Practice Address - Street 1:1310 34TH ST N
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-6570
Practice Address - Country:US
Practice Address - Phone:409-948-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28817122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist