Provider Demographics
NPI:1194476341
Name:ANP DENTAL & AESTHETICS, LLC
Entity type:Organization
Organization Name:ANP DENTAL & AESTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COSENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-524-2300
Mailing Address - Street 1:530 NW 54TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-1924
Mailing Address - Country:US
Mailing Address - Phone:305-735-3002
Mailing Address - Fax:
Practice Address - Street 1:530 NW 54TH ST STE A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-1924
Practice Address - Country:US
Practice Address - Phone:305-735-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental