Individual
DANIEL THOMAS NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
121 ROLLING ACRES DRIVE, ALUM BANK, PA 15521
(814) 839-4696
(814) 839-2177
Mailing address
PO BOX 158, ALUM BANK, PA 15521
(814) 839-4696
(814) 839-2177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024122L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469981
BS
PA
Enumeration date
11/21/2006
Last updated
03/17/2016
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