MEDICARE: DR. ANTHONY F DELIO D.D.S.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	6841	CO
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	D04532	AZ

General Provider Information

NPI Number	:	1275752990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY F DELIO D.D.S.

Provider Business Mailing Address
First Line	:	12265 N TALL GRASS DR
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85755-8746
Country	:	US
Telephone Number	:	520-572-4244
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W CORTARO FARMS RD
Second Line	:	SUITE 101
City	:	TUCSON
State	:	AZ
Zip	:	85742-8615
Country	:	US
Telephone Number	:	520-572-4244
Fax Number	:

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/23/2013

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