Provider Demographics
NPI:1487796348
Name:SCOMA, ANTHONY J (DDS)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:SCOMA
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 1:10549 SCRIPPS POWAY PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3963
Mailing Address - Country:US
Mailing Address - Phone:858-271-4200
Mailing Address - Fax:858-271-5040
Practice Address - Street 1:10549 SCRIPPS POWAY PKWY STE E
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3963
Practice Address - Country:US
Practice Address - Phone:858-271-4200
Practice Address - Fax:858-271-5040
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry