Individual
DR. ANTHONY M DENICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1630 E HIGH ST, BLDG 4, POTTSTOWN, PA 19464-3244
(610) 326-7880
(610) 326-5491
Mailing address
1630 E HIGH ST, BLDG 4, POTTSTOWN, PA 19464-3244
(610) 326-7880
(610) 326-5491
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-015993L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048312000
AMERIHEALTH
PA
01
—
03208501
CAPITAL BLUE CROSS
PA
01
—
1177183-006
CIGNA
PA
01
—
2422619
AETNA HMO
PA
01
—
4100947
AETNA COMMERCIAL PLANS
PA
01
—
DE062812
HIGHMARK
PA
Enumeration date
06/16/2005
Last updated
07/09/2007
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