Provider Demographics
NPI:1164681664
Name:LEMAK, ANNE LIBERATORE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LIBERATORE
Last Name:LEMAK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 LAKE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PENNSYLVANIA
Mailing Address - Zip Code:15668
Mailing Address - Country:UM
Mailing Address - Phone:412-779-4073
Mailing Address - Fax:412-945-6107
Practice Address - Street 1:3405 LAKE RIDGE DR
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1583
Practice Address - Country:US
Practice Address - Phone:412-779-4073
Practice Address - Fax:412-945-6107
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036555122300000X
PADA0316261223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
No122300000XDental ProvidersDentist