MEDICARE: DR. ANTHONY JOSEPH TABONE 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	8599	CO
2	1223G0001X	General Practice Dentistry	047126	NY

General Provider Information

NPI Number	:	1740282938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY JOSEPH TABONE DDS

Provider Business Mailing Address
First Line	:	179 GENESEE ST
Second Line	:
City	:	AUBURN
State	:	NY
Zip	:	13021-3370
Country	:	US
Telephone Number	:	315-252-8766
Fax Number	:	315-252-1564

Provider Business Practice Location Address
First Line	:	179 GENESEE ST
Second Line	:
City	:	AUBURN
State	:	NY
Zip	:	13021-3370
Country	:	US
Telephone Number	:	315-252-8766
Fax Number	:	315-252-1564

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/11/2025

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