Provider Demographics
NPI:1043567589
Name:KERGER, DANIELLE ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ANN
Last Name:KERGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 ROOSEVELT ROAD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137
Mailing Address - Country:US
Mailing Address - Phone:630-984-4050
Mailing Address - Fax:630-984-4044
Practice Address - Street 1:279 ROOSEVELT ROAD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137
Practice Address - Country:US
Practice Address - Phone:630-984-4050
Practice Address - Fax:630-984-4044
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-0291561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice