Provider Demographics
NPI:1306963202
Name:SETKOWICZ, ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:SETKOWICZ
Suffix:
Gender:F
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:PO BOX 14325
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33766-4325
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2555 ENTERPRISE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1160
Practice Address - Country:US
Practice Address - Phone:727-796-9669
Practice Address - Fax:727-791-7668
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN122031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice