MEDICARE: DR. ANNALEE ASBURY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	62666	CA

General Provider Information

NPI Number	:	1093149510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNALEE ASBURY DDS

Provider Business Mailing Address
First Line	:	6425 N PALM AVE
Second Line	:	SUITE 105
City	:	FRESNO
State	:	CA
Zip	:	93704-1084
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6425 N PALM AVE
Second Line	:	SUITE 105
City	:	FRESNO
State	:	CA
Zip	:	93704-1084
Country	:	US
Telephone Number	:	559-439-6425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2013
Last Update Date	:	12/02/2025

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