MEDICARE: DR. ANTHONY THOMAS FERNANDEZ D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	34610	CA

General Provider Information

NPI Number	:	1275625717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY THOMAS FERNANDEZ D.D.S.

Provider Business Mailing Address
First Line	:	1441 MONTGOMERY DR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-4505
Country	:	US
Telephone Number	:	707-546-1166
Fax Number	:	707-546-1167

Provider Business Practice Location Address
First Line	:	1441 MONTGOMERY DR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-4505
Country	:	US
Telephone Number	:	707-546-1166
Fax Number	:	707-546-1167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225108897 — MRS. LAURA MARY GAETA-WILSON DDS
Practice Location Address:

1435 MONTGOMERY DR
SANTA ROSA, CA
95405-4505

Practice Phone: 707-571-8152
Practice Fax: 707-571-8332

1609593706 — MR. CLAY BRECKINRIDGE DAULTON L.AC.
Practice Location Address:

1435 MONTGOMERY DR
SANTA ROSA, CA
95405-4505

Practice Phone: 707-547-7014
Practice Fax:

1639172018 — CYNTHIA C TOWNSEND ARNP, FNP-BC
Practice Location Address:

255 VENTANA BLVD
SANTA ROSA BEACH, FL
32459-4505

Practice Phone: 601-549-6591
Practice Fax:

1295730406 — RICHARD DAVID JONES O.D., F.A.A.O.
Practice Location Address:

800 FOURTH STREET
SANTA ROSA, CA
95404-4505

Practice Phone: 707-542-1554
Practice Fax: 707-542-1252

1376771808 — R. DAVID JONES, O.D.
Practice Location Address:

800 4TH ST
SANTA ROSA, CA
95404-4505

Practice Phone: 707-542-1554
Practice Fax: 707-542-1252

1417200288 — TIFFANY LOUISE MOORE O.D.
Practice Location Address:

800 4TH ST
SANTA ROSA, CA
95404-4505

Practice Phone: 707-542-1554
Practice Fax:

Directions to “ DR. ANTHONY THOMAS FERNANDEZ D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.