Carroccia, Anthony Scott

Carroccia, Anthony Scott is an individual health care provider with primary practice located at 2088 Lowes Dr Suite C, Clarksville TN 37040-1620. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carroccia, Anthony Scott can be contacted via phone (931) 648-3233.

Contact Information

Primary practice address
2088 Lowes Dr Suite C Clarksville TN 37040-1620
Phone: (931) 648-3233
Fax: (931) 648-3266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7717 Tennessee

Profile Details

NPI number 1609876572
LBN Legal business name Carroccia, Anthony Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jun 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609876572 NPPES
Tennessee MEDICAID 5440029
Tennessee Other 9176520

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