Danielle Jacquelene Dey, D.D.S.

Individual provider Active NPI Dentist · Etna, OH

NPI 1114357167 · NPPES record last updated Mar 16, 2018

Key facts

NPI
1114357167
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
30-024073 (OH)
Practice address
10991B National Rd SW
Etna, OH 43062-8107
Phone
(740) 785-7444
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161205002162 OH Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
9335429539

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
30-024073OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle J Dey DDS, LLC Current Accepting new patients

Locations

10991B National Rd SW
Etna, OH 43062
Phone (740) 785-7444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024073 OH Yes

Addresses

Primary practice location

10991B National Rd SW
Etna, OH 43062-8107

Mailing address

10991B National Rd SW
Etna, OH 43062-8107
Phone (740) 785-7444

Other names

  • Dr. Danielle Jacquelene Royer Former name

Other providers in Etna, OH

All providers in Etna, OH · Dentist in Ohio

Sources for this page

Verify at the official NPI Registry.