Provider Demographics
NPI:1093779746
Name:HURLEY, ANNAMARIE DENIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNAMARIE
Middle Name:DENIS
Last Name:HURLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ANNAMARIE
Other - Middle Name:
Other - Last Name:DENIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:231 S MAIN ST
Mailing Address - Street 2:RM 307 COUTLER BUILDING
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-834-9470
Mailing Address - Fax:
Practice Address - Street 1:231 S MAIN ST
Practice Address - Street 2:RM 307 COUTLER BUILDING
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-834-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026270L1223G0001X
CO84261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
534203OtherBLUE CROSS UNITED CONCORD