Healthcare Provider Details

I. General information

NPI: 1194636340
Provider Name (Legal Business Name): VALERIE ANTON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 SMITH RD
FAIRLAWN OH
44333-4448
US

IV. Provider business mailing address

4511 HILLSIDE DR
COPLEY OH
44321-3075
US

V. Phone/Fax

Practice location:
  • Phone: 330-668-1165
  • Fax:
Mailing address:
  • Phone: 619-804-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028518
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: