# ANTHONY J. DESTEFANO, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** bite dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821351784
- **Authorized official:** DR. ANTHONY JASON DESTEFANO D.M.D. (OWNER/DENTIST)
- **Authorized official phone:** (919) 723-7461

## Contact information

- **Practice address:** 6101 GRACE PARK DR, MORRISVILLE, NC 27560-6003
- **Practice address phone:** (919) 571-2484
- **Practice address fax:** (919) 571-2486
- **Mailing address:** 6101 GRACE PARK DR, MORRISVILLE, NC 27560-6003
- **Mailing address phone:** (919) 571-2484
- **Mailing address fax:** (919) 571-2486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8692 | NC | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012