Provider Demographics
NPI:1275822538
Name:DO, ANTHONY T (DMD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:T
Last Name:DO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5345 W UNIVERSITY DR
Mailing Address - Street 2:#200
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7824
Mailing Address - Country:US
Mailing Address - Phone:214-556-5664
Mailing Address - Fax:214-329-1012
Practice Address - Street 1:5345 W UNIVERSITY DR
Practice Address - Street 2:#200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7824
Practice Address - Country:US
Practice Address - Phone:214-556-5664
Practice Address - Fax:214-329-1012
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59995122300000X
TX26402122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist