NPI 1629418090 · live from the CMS NPI Registry
Anthony Imburgia, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Plainfield, IN. National Provider Identifier 1629418090, active.
NPI record
| NPI | 1629418090 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2230 Stafford Rd, Suite 157, Plainfield, IN 46168 |
| Practice phone | 317-997-7930 |
| Enumerated | July 1, 2013 |
| Last updated | July 1, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12011689A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.