Daniel Anthony Nosal, DMD
Individual provider Active NPI Dentist · Dayton, PA
NPI 1336280775 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336280775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS026623L (PA)
- Practice address
- 313 State Route 839
Dayton, PA 16222 - Phone
- (724) 783-2141
- Fax
- (724) 783-6602
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150507001933 | PA | Order and Referring Only - Dentist |
6507185857 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026623L | PA | Yes |
Addresses
Primary practice location
313 State Route 839
Dayton, PA 16222
Mailing address
313 State Route 839
Dayton, PA 16222
Phone (724) 783-2141
Other providers in Dayton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.