Provider Demographics
NPI:1063553964
Name:DUGATTO-COSCIA, ANITA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:DUGATTO-COSCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANITA
Other - Middle Name:DIGIOVANNI
Other - Last Name:DUGATTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:69 ELIZABETH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1825
Mailing Address - Country:US
Mailing Address - Phone:203-736-2031
Mailing Address - Fax:203-736-0770
Practice Address - Street 1:69 ELIZABETH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1825
Practice Address - Country:US
Practice Address - Phone:203-736-2031
Practice Address - Fax:203-736-0770
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0085081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice