Healthcare Provider Details

I. General information

NPI: 1588223325
Provider Name (Legal Business Name): ANTHONY CONTRATTO DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 THOMAS JOHNSON DR STE 295
FREDERICK MD
21702-4959
US

IV. Provider business mailing address

650 W BALTIMORE ST STE 1216
BALTIMORE MD
21201-1510
US

V. Phone/Fax

Practice location:
  • Phone: 636-233-4976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number18617
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: