Healthcare Provider Details

I. General information

NPI: 1396784963
Provider Name (Legal Business Name): DENNIS M ANTHONY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5964 GOLF CLUB LN
HAMILTON OH
45011-8224
US

IV. Provider business mailing address

5964 GOLF CLUB LN
FAIRFIELD TOWNSHIP OH
45011-8224
US

V. Phone/Fax

Practice location:
  • Phone: 513-893-1100
  • Fax: 513-893-1128
Mailing address:
  • Phone: 513-893-1100
  • Fax: 513-893-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35-081138
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-081138
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: