Provider Demographics
NPI:1497309017
Name:ANESTHESIA CONNECTIONS DENTAL, LLC
Entity Type:Organization
Organization Name:ANESTHESIA CONNECTIONS DENTAL, LLC
Other - Org Name:ANESTHESIA CONNECTIONS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VADELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-301-4830
Mailing Address - Street 1:555 HUGUENOT TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-9216
Mailing Address - Country:US
Mailing Address - Phone:804-301-4830
Mailing Address - Fax:888-831-1024
Practice Address - Street 1:555 HUGUENOT TRL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-9216
Practice Address - Country:US
Practice Address - Phone:804-301-4830
Practice Address - Fax:888-831-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty