Provider Demographics
NPI:1821213844
Name:ANOCNA, MARJOLEIN V (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARJOLEIN
Middle Name:V
Last Name:ANOCNA
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 1:9200 MONTGOMERY RD
Mailing Address - Street 2:BUILDG G, 19-B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7789
Mailing Address - Country:US
Mailing Address - Phone:513-791-4500
Mailing Address - Fax:513-791-6094
Practice Address - Street 1:9200 MONTGOMERY RD
Practice Address - Street 2:BUILDING G, SUITE 19-B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7789
Practice Address - Country:US
Practice Address - Phone:513-791-4500
Practice Address - Fax:513-791-6094
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH137771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice