Provider Demographics
NPI:1366483760
Name:ANESI, ROBERT DUANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DUANE
Last Name:ANESI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 W 65TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-1804
Mailing Address - Country:US
Mailing Address - Phone:816-444-2395
Mailing Address - Fax:
Practice Address - Street 1:10351 MASTIN ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5452
Practice Address - Country:US
Practice Address - Phone:913-492-5180
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5233122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist