# ANTHONY M VIZZINIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANTHONY M VIZZINIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336708999
- **Legal business name:** ANTHONY M VIZZINIA
- **Authorized official:** MELISSA LEANNE ALLEN (FINANCIAL)
- **Authorized official phone:** (256) 845-7300

## Contact information

- **Practice address:** 302 4TH ST SW, FORT PAYNE, AL 35967-1840
- **Practice address phone:** (256) 845-7300
- **Practice address fax:** (256) 845-7392
- **Mailing address:** 302 4TH ST SW, FORT PAYNE, AL 35967-1840
- **Mailing address phone:** (256) 845-7300
- **Mailing address fax:** (256) 845-7392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2019
- **Last updated:** 06/07/2019