Individual
DR. ANTHONY FRANK CHIBBARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
316 N. WHEELER AVE., PROSPERITY, SC 29127-0420
(803) 364-2726
(803) 364-2878
Mailing address
PO BOX 420, PROSPERITY, SC 29127-0420
(803) 364-2726
(803) 364-2878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2451
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ2451
—
SC
Enumeration date
12/12/2006
Last updated
07/08/2007
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