Provider Demographics
NPI:1699088534
Name:ANADIOTI, EVANTHIA (DDS)
Entity type:Individual
Prefix:DR
First Name:EVANTHIA
Middle Name:
Last Name:ANADIOTI
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 1:1512 SANSOM ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2809
Mailing Address - Country:US
Mailing Address - Phone:267-534-4938
Mailing Address - Fax:
Practice Address - Street 1:1512 SANSOM ST STE 200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2809
Practice Address - Country:US
Practice Address - Phone:267-534-4938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARFD0000151223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics