MEDICARE: ANTHONY S DUNKIN-MOSCATO 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	1223G0001X	General Practice Dentistry	D10612	OR
2	1223G0001X	General Practice Dentistry	30.020874	OH
3	1223G0001X	General Practice Dentistry	DE60145056	WA

General Provider Information

NPI Number	:	1841384179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY S DUNKIN-MOSCATO D.D.S.

Provider Business Mailing Address
First Line	:	433 N 3RD ST
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-1921
Country	:	US
Telephone Number	:	937-524-4544
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 W MAIN ST
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-1017
Country	:	US
Telephone Number	:	937-332-8900
Fax Number	:	937-332-3782

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/15/2024

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Directions to “ ANTHONY S DUNKIN-MOSCATO D.D.S.” Practice Location

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