Provider Demographics
NPI:1508547696
Name:LITRENTA, ANNIE ROSE (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:ROSE
Last Name:LITRENTA
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 GREENWOOD PLZ
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1626
Mailing Address - Country:US
Mailing Address - Phone:724-285-4700
Mailing Address - Fax:724-285-7334
Practice Address - Street 1:300 GREENWOOD PLZ
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1626
Practice Address - Country:US
Practice Address - Phone:724-285-4700
Practice Address - Fax:724-285-7334
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0442821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice