MEDICARE: ALEXANDER KAMAL DANIEL

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	1223G0001X	General Practice Dentistry	D0052815	MD
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	16312	MD

General Provider Information

NPI Number	:	1629509856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER KAMAL DANIEL

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N WOLFE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21287-0005
Country	:	US
Telephone Number	:	410-955-2116
Fax Number	:	410-614-1089

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	01/12/2026

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