MEDICARE: DR. GERALD FRANCIS DANAHER 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	1223G0001X	General Practice Dentistry	042196	NY

General Provider Information

NPI Number	:	1770553687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD FRANCIS DANAHER DDS

Provider Business Mailing Address
First Line	:	410 PARSONS DR
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13219-2348
Country	:	US
Telephone Number	:	315-487-8702
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 WOODS RD
Second Line	:
City	:	SOLVAY
State	:	NY
Zip	:	13209-1657
Country	:	US
Telephone Number	:	315-468-3327
Fax Number	:

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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