Provider Demographics
NPI:1881710150
Name:MAPES, ANTHONY HALSTED (DMD PC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:HALSTED
Last Name:MAPES
Suffix:
Gender:M
Credentials:DMD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PUEBLO RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5164
Mailing Address - Country:US
Mailing Address - Phone:215-345-8891
Mailing Address - Fax:215-345-8914
Practice Address - Street 1:24 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2912
Practice Address - Country:US
Practice Address - Phone:215-822-3569
Practice Address - Fax:215-822-0387
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017844L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics