Provider Demographics
NPI:1275156127
Name:ANTON, CARROL HANY (DMD)
Entity type:Individual
Prefix:DR
First Name:CARROL
Middle Name:HANY
Last Name:ANTON
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14540 SUNBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4530
Mailing Address - Country:US
Mailing Address - Phone:440-724-4877
Mailing Address - Fax:
Practice Address - Street 1:27417 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9084
Practice Address - Country:US
Practice Address - Phone:352-702-4760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.0042091223G0001X
FLDN257281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice