MEDICARE: DR. ERIC NMI DANKO DMD

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	8076	KY

General Provider Information

NPI Number	:	1336119395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC NMI DANKO DMD

Provider Business Mailing Address
First Line	:	LOGAN DENTAL CLINIC
Second Line	:	9225 DOERR RD
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-2204
Country	:	US
Telephone Number	:	703-681-3034
Fax Number	:

Provider Business Practice Location Address
First Line	:	LOGAN DENTAL CLINIC
Second Line	:	9225 DOERR RD
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-2204
Country	:	US
Telephone Number	:	36-813-0347
Fax Number	:

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	03/07/2023

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