Provider Demographics
NPI:1780689661
Name:CAHALL, ANNA HAMBLETON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:HAMBLETON
Last Name:CAHALL
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 1:249 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-3215
Mailing Address - Country:US
Mailing Address - Phone:330-382-0133
Mailing Address - Fax:330-385-7230
Practice Address - Street 1:16620 STATE ROUTE 267
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-3938
Practice Address - Country:US
Practice Address - Phone:330-386-5050
Practice Address - Fax:330-385-7230
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH216451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice