Provider Demographics
NPI:1811915044
Name:DIGIORNO, ANTHONY A SR (DDS)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:A
Last Name:DIGIORNO
Suffix:SR
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 1:1820 AVONDALE AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-1394
Mailing Address - Country:US
Mailing Address - Phone:916-486-8525
Mailing Address - Fax:916-486-4090
Practice Address - Street 1:1820 AVONDALE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-1394
Practice Address - Country:US
Practice Address - Phone:916-486-8525
Practice Address - Fax:916-486-4090
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD214471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice