Organization
DENTAL SPECIALISTS OF CENTRAL OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C ANTHONY DDS (OWNER/DENTIST)
(740) 913-0328
Entity
Organization
Contact information
Practice address
257 W GRANVILLE ST, SUITE 202, SUNBURY, OH 43074-9684
(740) 913-0328
Mailing address
PO BOX 798, SUNBURY, OH 43074-0798
(740) 913-0328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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