Provider Demographics
NPI:1477633972
Name:ANTHONY, RODNEY LEE (DMD)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:LEE
Last Name:ANTHONY
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 1:1550 S HIGHLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-2353
Mailing Address - Country:US
Mailing Address - Phone:727-443-3231
Mailing Address - Fax:727-442-0398
Practice Address - Street 1:1550 S HIGHLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-2353
Practice Address - Country:US
Practice Address - Phone:727-443-3231
Practice Address - Fax:727-442-0398
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00108701223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics