Provider Demographics
NPI:1174903967
Name:TEITELMAN, DANIELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:TEITELMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:DAMELIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:402 EAGLE LANE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-300-9730
Mailing Address - Fax:
Practice Address - Street 1:295 BUCK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966
Practice Address - Country:US
Practice Address - Phone:215-364-0444
Practice Address - Fax:215-364-3444
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA284328611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice