Provider Demographics
NPI:1497876023
Name:DICHIARA, ANNAMARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNAMARIE
Middle Name:
Last Name:DICHIARA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EMERY DR W
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4531
Mailing Address - Country:US
Mailing Address - Phone:205-733-8300
Mailing Address - Fax:205-733-1400
Practice Address - Street 1:500 EMERY DR W
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4531
Practice Address - Country:US
Practice Address - Phone:205-733-8300
Practice Address - Fax:205-733-1400
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4368122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist