Provider Demographics
NPI:1417655002
Name:ANTHONY CERMINARA DMD PC
Entity Type:Organization
Organization Name:ANTHONY CERMINARA DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LENOR
Authorized Official - Last Name:CERMINARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-766-4696
Mailing Address - Street 1:601 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:15066-1831
Mailing Address - Country:US
Mailing Address - Phone:724-846-1181
Mailing Address - Fax:724-846-7820
Practice Address - Street 1:601 4TH AVE
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:PA
Practice Address - Zip Code:15066-1831
Practice Address - Country:US
Practice Address - Phone:724-846-1181
Practice Address - Fax:724-846-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty