Provider Demographics
NPI:1477840775
Name:PLATYAN, ANITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:PLATYAN
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 1:616 ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1250
Mailing Address - Country:US
Mailing Address - Phone:845-831-6720
Mailing Address - Fax:845-831-5379
Practice Address - Street 1:616 ROUTE 52
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1250
Practice Address - Country:US
Practice Address - Phone:845-831-6720
Practice Address - Fax:845-831-5379
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0563201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice