Provider Demographics
NPI:1144616699
Name:DESAI, ANITA SUNIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:SUNIL
Last Name:DESAI
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 1:5551 CENTRE AVE
Mailing Address - Street 2:APT 816
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1213
Mailing Address - Country:US
Mailing Address - Phone:717-580-6156
Mailing Address - Fax:
Practice Address - Street 1:5551 CENTRE AVE
Practice Address - Street 2:APT 816
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1213
Practice Address - Country:US
Practice Address - Phone:717-580-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-11
Last Update Date:2015-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0577501223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics