Individual
DR. ANTHONY MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(804) 625-6065
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(804) 625-6065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401419353
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
04/25/2025
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