Healthcare Provider Details
I. General information
NPI: 1104842723
Provider Name (Legal Business Name): JAMES M DANKO DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
74 N MAIN ST SUITE ONE
NORTH GRAFTON MA
01536-1520
US
IV. Provider business mailing address
74 N MAIN ST SUITE ONE
NORTH GRAFTON MA
01536-1520
US
V. Phone/Fax
- Phone: 508-839-6068
- Fax:
- Phone: 508-839-6068
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
MICHAEL
DANKO
Title or Position: OTHODONTIST
Credential: DMD
Phone: 508-839-6068