Provider Demographics
NPI:1245029156
Name:DEJANOVIC, ANTE-TONCI (DDS)
Entity type:Individual
Prefix:DR
First Name:ANTE-TONCI
Middle Name:
Last Name:DEJANOVIC
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 1:1170 CHAMBERS RD APT 1C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1705
Mailing Address - Country:US
Mailing Address - Phone:330-389-4416
Mailing Address - Fax:
Practice Address - Street 1:5101 FOREST DR STE A
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8215
Practice Address - Country:US
Practice Address - Phone:614-939-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027943122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist