Healthcare Provider Details

I. General information

NPI: 1861800294
Provider Name (Legal Business Name): ANN CIPRIANI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 COLUMBIA DR STE E101
WEST PALM BEACH FL
33409-1949
US

IV. Provider business mailing address

470 COLUMBIA DR STE E101
WEST PALM BEACH FL
33409-1949
US

V. Phone/Fax

Practice location:
  • Phone: 561-683-3133
  • Fax:
Mailing address:
  • Phone: 561-683-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11739
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: