Healthcare Provider Details

I. General information

NPI: 1093779746
Provider Name (Legal Business Name): ANNAMARIE DENIS HURLEY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNAMARIE DENIS DMD

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 WATER ST STE 2
ORBISONIA PA
17243-9432
US

IV. Provider business mailing address

231 S MAIN ST RM 307 COUTLER BUILDING
GREENSBURG PA
15601
US

V. Phone/Fax

Practice location:
  • Phone: 814-447-3159
  • Fax: 814-447-3195
Mailing address:
  • Phone: 724-834-9470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8426
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS026270L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: