Provider Demographics
NPI:1245344183
Name:ANGLE, ANNE D (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:D
Last Name:ANGLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1207 EGYPT ROAD
Mailing Address - Street 2:P.O. BOX 380
Mailing Address - City:OAKS
Mailing Address - State:PA
Mailing Address - Zip Code:19456
Mailing Address - Country:US
Mailing Address - Phone:610-650-7775
Mailing Address - Fax:610-650-7767
Practice Address - Street 1:1207 EGYPT ROAD
Practice Address - Street 2:BOX 380
Practice Address - City:OAKS
Practice Address - State:PA
Practice Address - Zip Code:19456
Practice Address - Country:US
Practice Address - Phone:610-650-7775
Practice Address - Fax:610-650-7767
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0360681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics