# DR. DANIEL DEAN SACKETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952510372
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 042-0015288 | VT | Yes |
| 208800000X | Urology Physician | MT190613 | PA | — |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/09/2021
