Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT DANIELSON, DDS
Active Sole ProprietorBRENT DANIELSON, DDS is a General Dentistry healthcare provider located in LA GRANGE, Illinois. NPI 1174848576 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LA GRANGE, IL
Registration Details
- NPI Number
- 1174848576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2010 (16.395915257079 yrs)
- Last Updated
- Mar 29, 2010
- License
-
019-015421 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 W 47TH STLA GRANGE, IL, 605256141Browse IL providers · Browse ZIP 60525
- Phone
- 7084824420
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LA GRANGE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT E RADA | DDS | 1770574576 |
| DR. NANCY D. COZZI | D.D.S. | 1972514115 |
| DR. JOSEPH BALICE | D.D.S. | 1578650743 |
| DR. JEFFREY S GARBE | D.D.S. | 1134327000 |
| ELHAM YAHYA SHARAF -ELDEEN | DMD | 1528251246 |
| DR. KILEY NICOLE HIRONS | DDS | 1841454592 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.