Provider Demographics
NPI:1821117490
Name:LENTINE, ANTHONY WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:WILLIAM
Last Name:LENTINE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 E WEST HWY
Mailing Address - Street 2:SUITE 316
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4408
Mailing Address - Country:US
Mailing Address - Phone:301-654-7808
Mailing Address - Fax:301-654-3177
Practice Address - Street 1:4330 E WEST HWY
Practice Address - Street 2:SUITE 316
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4408
Practice Address - Country:US
Practice Address - Phone:301-654-7808
Practice Address - Fax:301-654-3177
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD57421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice