MEDICARE: DR. ANNA MARIE AULETTA 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	122300000X	Dentist	DN20804	FL

General Provider Information

NPI Number	:	1548678691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA MARIE AULETTA DDS

Provider Business Mailing Address
First Line	:	2189 CLEVELAND ST STE 252
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3243
Country	:	US
Telephone Number	:	727-461-9149
Fax Number	:

Provider Business Practice Location Address
First Line	:	7530 4TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-5410
Country	:	US
Telephone Number	:	727-525-8770
Fax Number	:

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

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	08/15/2018

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