MEDICARE: DR. CHRISTOPHER K ANENE 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	1223G0001X	General Practice Dentistry	7522	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356457428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER K ANENE DMD

Provider Business Mailing Address
First Line	:	3607 WHITEHALL PARK DR
Second Line	:	SUITE 1000
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-3341
Country	:	US
Telephone Number	:	704-831-6344
Fax Number	:	704-831-6368

Provider Business Practice Location Address
First Line	:	3607 WHITEHALL PARK DR
Second Line	:	SUITE 1000
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-3341
Country	:	US
Telephone Number	:	704-831-6344
Fax Number	:	704-831-6368

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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