Provider Demographics
NPI:1861001976
Name:LIVSEY, ANNA CHRISTINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CHRISTINE
Last Name:LIVSEY
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 1:6868 E BECKER LN STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6708
Mailing Address - Country:US
Mailing Address - Phone:480-595-5966
Mailing Address - Fax:480-595-5988
Practice Address - Street 1:6868 E BECKER LN STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6708
Practice Address - Country:US
Practice Address - Phone:480-595-5966
Practice Address - Fax:480-595-5988
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37542122300000X
AZPD00281223G0001X
AZD010817122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice