MEDICARE: DR. DANIELA IVANA NAUMOVSKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901601485	MI
2	1223P0300X	Periodontics	2901601485	MI

General Provider Information

NPI Number	:	1275271512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELA IVANA NAUMOVSKI DDS

Provider Business Mailing Address
First Line	:	4944 CLINTON DR
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48346-3806
Country	:	US
Telephone Number	:	586-914-2738
Fax Number	:

Provider Business Practice Location Address
First Line	:	4152 SASHABAW RD
Second Line	:
City	:	WATERFORD TOWNSHIP
State	:	MI
Zip	:	48329-1953
Country	:	US
Telephone Number	:	248-673-0505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	02/09/2026

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