| Organization Name: | DR. DANIEL J. FEMIAK D.D.S., P.C. |
| NPI Number: | 1003028531 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL JAMES FEMIAK (DENTIST) |
| Mailing Address: | 8687 Connecticut Street Ste. E. Merrillville |
| State: | IN US |
| Postal Code: | 464105549 |
| Phone Number: | 2197939710 |
| Fax Number: | 2197939549 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | IN12008970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |