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NPI Code Detail

MEDICARE: ANTHONY L. MONTELEONE II DMD

MEDICARE:   ANTHONY L. MONTELEONE II 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
11223G0001XGeneral Practice DentistryDS024810PA

Other Identifiers

General Provider Information

NPI Number : 1629025937
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY L. MONTELEONE II DMD
Provider Business Mailing Address
First Line : 926 GREAT POND DR
Second Line : SUITE 2003
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-7244
Country : US
Telephone Number : 407-772-5124
Fax Number : 407-788-3572
Provider Business Practice Location Address
First Line : 1724 MOUNT ROYAL BLVD
Second Line :
City : GLENSHAW
State : PA
Zip : 15116-2115
Country : US
Telephone Number : 412-213-1999
Fax Number : 412-213-6985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 07/09/2007

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