Provider Demographics
NPI:1376524207
Name:FINGAL, ANNE G (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:G
Last Name:FINGAL
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 1:33621 DEL OBISPO ST
Mailing Address - Street 2:STE G
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2100
Mailing Address - Country:US
Mailing Address - Phone:949-661-2158
Mailing Address - Fax:
Practice Address - Street 1:33621 DEL OBISPO ST
Practice Address - Street 2:STE G
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2100
Practice Address - Country:US
Practice Address - Phone:949-661-2158
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA272751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice