Individual
MR. DANIEL J ENGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4105 HOSPITAL STREET, SUITE 101, PASCAGOULA, MS 39581-5312
(228) 762-4403
(228) 762-4409
Mailing address
4105 HOSPITAL STREET, SUITE 101, PASCAGOULA, MS 39581-5312
(228) 762-4403
(228) 762-4409
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1923
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4005902
BCBS OF TN
TN
01
—
730-12358
BCBS OF AL
AL
01
—
795890
UNITED CONCORDIA
MS
01
—
V01923
BCBS OF TX
TX
Enumeration date
08/31/2006
Last updated
07/08/2007
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