Provider Demographics
NPI:1396945929
Name:LIBBEY, ANNE ZIMMERMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ZIMMERMAN
Last Name:LIBBEY
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 1:2616 LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1604
Mailing Address - Country:US
Mailing Address - Phone:434-846-4948
Mailing Address - Fax:434-845-5318
Practice Address - Street 1:2616 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1604
Practice Address - Country:US
Practice Address - Phone:434-846-4948
Practice Address - Fax:434-845-5318
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-22
Last Update Date:2007-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410857122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist