Provider Demographics
NPI:1437180379
Name:SCHIAVONE, ANTHONY P JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:P
Last Name:SCHIAVONE
Suffix:JR
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 1:1975 NILES CORTLAND RD NE
Mailing Address - Street 2:STE 2
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-1093
Mailing Address - Country:US
Mailing Address - Phone:330-393-3646
Mailing Address - Fax:
Practice Address - Street 1:1975 NILES CORTLAND RD NE
Practice Address - Street 2:STE 2
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-1093
Practice Address - Country:US
Practice Address - Phone:330-393-3646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341269468023Medicaid
OH1569Medicaid
OH0384909Medicaid
OH000000265177Medicaid