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 |
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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 |
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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 |
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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 |