MEDICARE: DR. ANTHONY DESTEFANO DMD

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	122300000X	Dentist	DS036173	PA
2	122300000X	Dentist	8692	NC

General Provider Information

NPI Number	:	1255495370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY DESTEFANO DMD

Provider Business Mailing Address
First Line	:	6101 GRACE PARK DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-6003
Country	:	US
Telephone Number	:	919-571-2484
Fax Number	:	919-571-2486

Provider Business Practice Location Address
First Line	:	6101 GRACE PARK DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-6003
Country	:	US
Telephone Number	:	919-571-2484
Fax Number	:	919-571-2486

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	01/11/2011

Similar Medicare Providers

1164688644 — DR. SWAPNA VEERABHADRIAH CHENNA M.D.
Practice Location Address:

6102 GRACE PARK DR
MORRISVILLE, NC
27560-6003

Practice Phone: 919-235-6405
Practice Fax: 919-235-6406

1821351784 — ANTHONY J. DESTEFANO, DMD, PA
Practice Location Address:

6101 GRACE PARK DR
MORRISVILLE, NC
27560-6003

Practice Phone: 919-571-2484
Practice Fax: 919-571-2486

1396000188 — WAKE SPECIALTY PHYSICIANS
Practice Location Address:

6102 GRACE PARK DR
MORRISVILLE, NC
27560-6003

Practice Phone: 919-235-6405
Practice Fax:

1598207813 — KAISER FAMILY DENTISTRY
Practice Location Address:

6101 GRACE PARK DR
MORRISVILLE, NC
27560-6003

Practice Phone: 919-571-2484
Practice Fax:

1336607183 — HOANG DMD, PLLC
Practice Location Address:

6101 GRACE PARK DR
MORRISVILLE, NC
27560-6003

Practice Phone: 336-541-0208
Practice Fax:

1740819549 — JACKELINE CHAPARRO LORENZO LARKER DO
Practice Location Address:

6102 GRACE PARK DR
MORRISVILLE, NC
27560-6003

Practice Phone: 919-235-6480
Practice Fax:

Directions to “ DR. ANTHONY DESTEFANO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.