Provider Demographics
NPI:1043218985
Name:ESPOSITO, DANIEL EDWARD (MD, DMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:EDWARD
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6179 S BALSAM WAY
Mailing Address - Street 2:SUITE #100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3091
Mailing Address - Country:US
Mailing Address - Phone:303-933-8282
Mailing Address - Fax:303-948-5610
Practice Address - Street 1:6179 S BALSAM WAY
Practice Address - Street 2:SUITE #100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3091
Practice Address - Country:US
Practice Address - Phone:303-933-8282
Practice Address - Fax:303-948-5610
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO82581223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22781Medicare UPIN
CO22781Medicare ID - Type Unspecified