Provider Demographics
NPI:1073699690
Name:ANONYE, CHINENYE CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHINENYE
Middle Name:CHARLES
Last Name:ANONYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SADDLESTONE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4958
Mailing Address - Country:US
Mailing Address - Phone:410-236-7812
Mailing Address - Fax:410-236-7812
Practice Address - Street 1:3150 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2504
Practice Address - Country:US
Practice Address - Phone:717-755-2817
Practice Address - Fax:717-757-7080
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice