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Contact Information

ANITHA PRASANNA, DMD
1490 CHENEY HWY
TITUSVILLE, FL32780
 Phone: 321-267-3304
 Fax: 321-267-9191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ANITHA PRASANNA · (Female)

NPI # 1023141462
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/14/2007
Last updated 05/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # DN16818
  • FL Medicaid 071202700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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