Provider Demographics
NPI:1801012729
Name:NEEL, ANITA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:M
Last Name:NEEL
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 1:2077 AVIANO WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3555
Mailing Address - Country:US
Mailing Address - Phone:910-382-0803
Mailing Address - Fax:
Practice Address - Street 1:900 GARDENS BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1469
Practice Address - Country:US
Practice Address - Phone:434-984-3455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411008122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist