Anthony Vitali in Gallup - Dentist

Anthony Vitali - NPI 1740218874

Anthony Vitali is a Dentist in Gallup, New Mexico. Anthony Vitali practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anthony Vitali is 1740218874. The last update date is 2008-04-11.

Anthony Vitali's current location address is 516 E. Nizhoni Blvd, Gallup, New Mexico. You can contact this provider via phone number 5057221000 and fax number 5057221565. The mailing address for Anthony Vitali is 516 E. Nizhoni Blvd, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Vitali
Address 516 E. Nizhoni Blvd, Gallup, New Mexico
Phone Number 5057221000
Fax Number 5057221565
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1740218874
Provider Enumeration Date 2006-06-29
Last Updated Date 2008-04-11

Provider Mailing Address Detail

Address 516 E. Nizhoni Blvd
City Gallup
State New Mexico (NM)
Post Code 873011337
Phone Number 5057221000
Fax Number 5057221565

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS028849L
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
440975 AZ --
000T4892 NM --

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FAQs about Anthony Vitali

What is the unique provider identifier assigned to Anthony Vitali?

The Anthony Vitali has been issued the NPI (National Provider Identifier) 1740218874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Anthony Vitali?

The Anthony Vitali is situated at 516 E. Nizhoni Blvd, in the city of Gallup, state of NM, with the zip code 873011337.

What is Anthony Vitali's area of expertise and its corresponding taxonomy classification?

The Anthony Vitali's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740218874 to Anthony Vitali?

The Centers for Medicare & Medicaid Services originally issued the 1740218874 to Anthony Vitali on 2006-06-29.

As of what date were the details pertaining to Anthony Vitali last refreshed?

The information related to the Anthony Vitali, including its address, specialty, and other relevant details, was last updated on 2008-04-11.

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