Provider Demographics
NPI:1649567827
Name:SWEET, ANNA DENISE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:DENISE
Last Name:SWEET
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 1:107 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-8804
Mailing Address - Country:US
Mailing Address - Phone:207-577-6732
Mailing Address - Fax:
Practice Address - Street 1:306 US ROUTE 1 BLDG B
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7640
Practice Address - Country:US
Practice Address - Phone:207-396-4373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4170122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist