Provider Demographics
NPI:1558484154
Name:NIGRO, ANTHONY A (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:A
Last Name:NIGRO
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:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:GLANDORF
Mailing Address - State:OH
Mailing Address - Zip Code:45848-0040
Mailing Address - Country:US
Mailing Address - Phone:419-419-3334
Mailing Address - Fax:419-419-3433
Practice Address - Street 1:112 DOCTOR THATYE DRIVE
Practice Address - Street 2:
Practice Address - City:GLANDORF
Practice Address - State:OH
Practice Address - Zip Code:45848-0040
Practice Address - Country:US
Practice Address - Phone:419-419-3334
Practice Address - Fax:419-419-3433
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0206001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice