Provider Demographics
NPI:1013953249
Name:CHRISTIANI, ANTHONY JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOHN
Last Name:CHRISTIANI
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 1:395 N 15TH
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:OH
Mailing Address - Zip Code:44672
Mailing Address - Country:US
Mailing Address - Phone:330-938-3384
Mailing Address - Fax:330-938-2817
Practice Address - Street 1:395 N 15TH
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:OH
Practice Address - Zip Code:44672
Practice Address - Country:US
Practice Address - Phone:330-938-3384
Practice Address - Fax:330-938-2817
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH192251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
83415997OtherBCBS
404367OtherUNITED CONCORDIA
0947686Medicare ID - Type UnspecifiedBCBS