| Richard Anthony, Dds Ms, A Prof. Corp. | |
|
4165 Blackhawk Plaza Cir Suite 260 Danville CA 94506-4904 | |
| (925) 736-3311 | |
| (925) 736-3313 |
| Full Name | Richard Anthony, Dds Ms, A Prof. Corp. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4165 Blackhawk Plaza Cir, Danville, California |
| Authorized Official Name and Position | Richard J Anthony (PRESIDENT) |
| Authorized Official Contact | 9257363311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Anthony, Dds Ms, A Prof. Corp. 4165 Blackhawk Plaza Cir Suite 260 Danville CA 94506-4904 Ph: (925) 736-3311 | Richard Anthony, Dds Ms, A Prof. Corp. 4165 Blackhawk Plaza Cir Suite 260 Danville CA 94506-4904 Ph: (925) 736-3311 |
| NPI Number | 1790883023 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790883023 | NPI | - | NPPES |
| 180515 | Other | CA | CIGNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 34025 (California) | Primary |
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