| Dr Anthony Vizzinia, Dmd Pc | |
|
302 4th St Sw Ft. Payne AL 35967-1840 | |
| (256) 845-7300 | |
| (256) 845-7392 |
| Full Name | Dr Anthony Vizzinia, Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 4th St Sw, Ft. Payne, Alabama |
| Authorized Official Name and Position | Anthony Vizzinia (OWNER) |
| Authorized Official Contact | 2568457300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Vizzinia, Dmd Pc 302 4th St Sw Ft. Payne AL 35967-1840 Ph: (256) 845-7300 | Dr Anthony Vizzinia, Dmd Pc 302 4th St Sw Ft. Payne AL 35967-1840 Ph: (256) 845-7300 |
| NPI Number | 1942535075 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 07/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942535075 | NPI | - | NPPES |
| 529911680 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4267 (Alabama) | Primary |