Provider Demographics
NPI:1871534446
Name:DOHNALEK, DANIEL A (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:DOHNALEK
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 1:48 S OLD RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3125
Mailing Address - Country:US
Mailing Address - Phone:847-438-6485
Mailing Address - Fax:847-438-6496
Practice Address - Street 1:48 S OLD RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3125
Practice Address - Country:US
Practice Address - Phone:847-438-6485
Practice Address - Fax:847-438-6496
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice