Provider Demographics
NPI:1104946391
Name:NARLIS, ANTHONY (DDS)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:NARLIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 RIDGEBROOK RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9455
Mailing Address - Country:US
Mailing Address - Phone:410-472-9650
Mailing Address - Fax:410-472-9653
Practice Address - Street 1:913 RIDGEBROOK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152-9455
Practice Address - Country:US
Practice Address - Phone:410-472-9650
Practice Address - Fax:410-472-9653
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD134151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice