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Individual
DR. ANTHONY SCOTT CARROCCIA
Active
Individual
DR. ANTHONY SCOTT CARROCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440029
—
TN
01
—
9176520
DORAL DENTAL
TN
Enumeration date
07/21/2005
Last updated
06/04/2008
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