Healthcare Provider Details

I. General information

NPI: 1972521227
Provider Name (Legal Business Name): ANTHONY PRESICCI MS, D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7795 DUBLIN BLVD
COLORADO SPRINGS CO
80923-7592
US

IV. Provider business mailing address

7795 DUBLIN BLVD
COLORADO SPRINGS CO
80923-7592
US

V. Phone/Fax

Practice location:
  • Phone: 631-513-7682
  • Fax:
Mailing address:
  • Phone: 631-513-7682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206600
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: