Provider Demographics
NPI:1679796114
Name:CAREY, DANIEL WALTER (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WALTER
Last Name:CAREY
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 1:102 S FINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1422
Mailing Address - Country:US
Mailing Address - Phone:908-766-7441
Mailing Address - Fax:908-766-7726
Practice Address - Street 1:102 S FINLEY AVE
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1422
Practice Address - Country:US
Practice Address - Phone:908-766-7441
Practice Address - Fax:908-766-7726
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI014923001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice