Provider Demographics
NPI:1881741197
Name:IANNACE, BIAGIO ANTHONY (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:BIAGIO
Middle Name:ANTHONY
Last Name:IANNACE
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-2801
Mailing Address - Country:US
Mailing Address - Phone:914-776-2023
Mailing Address - Fax:914-776-0823
Practice Address - Street 1:311 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-2801
Practice Address - Country:US
Practice Address - Phone:914-776-2023
Practice Address - Fax:914-776-0823
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY449051223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics