Provider Demographics
NPI:1932177698
Name:URBANEK, ANTHONY P (DDS , MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:P
Last Name:URBANEK
Suffix:
Gender:M
Credentials:DDS , MD
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Mailing Address - Street 1:8119 ISABELLA LN STE 108
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8173
Mailing Address - Country:US
Mailing Address - Phone:615-771-1983
Mailing Address - Fax:615-771-2434
Practice Address - Street 1:8119 ISABELLA LN STE 108
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-771-1983
Practice Address - Fax:615-771-2434
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2018-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNDS00000029791223S0112X
TNMD0000012798204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT98275Medicare UPIN