Provider Demographics
NPI:1093351314
Name:ANNA FINKLER DDS LLC
Entity Type:Organization
Organization Name:ANNA FINKLER DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-693-8051
Mailing Address - Street 1:4 RESERVOIR CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6360
Mailing Address - Country:US
Mailing Address - Phone:410-486-5678
Mailing Address - Fax:
Practice Address - Street 1:4 RESERVOIR CIR STE 100
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6360
Practice Address - Country:US
Practice Address - Phone:410-486-5678
Practice Address - Fax:410-486-5719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty