Healthcare Provider Details

I. General information

NPI: 1639378185
Provider Name (Legal Business Name): DANIEL J. DALEY JR, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 BALTIMORE PIKE SUITE 1
SPRINGFIELD PA
19064
US

IV. Provider business mailing address

1050 BALTIMORE PIKE SUITE 1
SPRINGFIELD PA
19064
US

V. Phone/Fax

Practice location:
  • Phone: 610-544-5251
  • Fax: 610-543-4595
Mailing address:
  • Phone: 610-544-5251
  • Fax: 610-543-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS017186L
License Number StatePA

VIII. Authorized Official

Name: DR. RICHARD JAMES CLARK III
Title or Position: PRESIDENT
Credential: DDS
Phone: 610-544-5251