Daniel J Daley Jr., DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS017186L Issued in PA

Practice address

2300 Garrett Rd
Drexel Hill, PA 19026-1102

Phone

(610) 623-4211

Fax

(610) 623-2850

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Daniel Joseph Daley Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Suburban Oral Surgery LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Drexel Hill, PA
  • NPI 1487247607
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1487679908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261102",
            "telephone_number": "610-623-4211",
            "fax_number": "610-623-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261102",
            "telephone_number": "610-623-4211",
            "fax_number": "610-623-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS017186L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000526363 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "DALEY",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cro-Maat Behavior Services
• Aleshia Crump, MSN, FNP-BC
• CS Home Care LLC
• William J Curran Jr.
• Wasna Dabbagh, DMD
• Lori Elizabeth Daley
• Linda R Dalo, CRNP
• Amy S Damon, CPHT
• Mark Hanh Van Dang, MD
• David Dao, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.