Provider Demographics
NPI:1083763965
Name:ANASINSKI, DOROTHY ANNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ANNA
Last Name:ANASINSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8216 W OAKTON ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2723
Mailing Address - Country:US
Mailing Address - Phone:847-685-6686
Mailing Address - Fax:847-685-2082
Practice Address - Street 1:8216 W OAKTON ST
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-2723
Practice Address - Country:US
Practice Address - Phone:847-685-6686
Practice Address - Fax:847-685-2082
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics