Provider Demographics
NPI:1750440582
Name:GIDDINGS, ANMARIE (DDS)
Entity type:Individual
Prefix:
First Name:ANMARIE
Middle Name:
Last Name:GIDDINGS
Suffix:
Gender:F
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:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:CHEWELAH
Mailing Address - State:WA
Mailing Address - Zip Code:99109-0808
Mailing Address - Country:US
Mailing Address - Phone:509-935-6001
Mailing Address - Fax:
Practice Address - Street 1:105 NORTH 2ND
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:WA
Practice Address - Zip Code:99173-1349
Practice Address - Country:US
Practice Address - Phone:509-258-7543
Practice Address - Fax:509-258-7524
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000094591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice