NPI 1043631435

Shelly Anthony, RDH

Practitioner Dental Hygienist Jacksonville, FL

Practice location

Address: 120 King St, Jacksonville, FL 32204-2410
Phone: (904) 253-1287

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH10361 (FL)

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Registry record

NPI: 1043631435
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2014
Record last updated: 2 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.