Provider Demographics
NPI:1235440363
Name:TRUNCALI, ANNA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNA MARIE
Middle Name:
Last Name:TRUNCALI
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 1:315 AVENUE W
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5218
Mailing Address - Country:US
Mailing Address - Phone:718-336-4646
Mailing Address - Fax:718-336-2320
Practice Address - Street 1:315 AVENUE W
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5218
Practice Address - Country:US
Practice Address - Phone:718-336-4646
Practice Address - Fax:718-336-2320
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042947122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist