National Provider Identifier

Anita T. Drake, D.D.S.

Anita T. Drake, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Fairport, NY and a listed phone number of (585) 223-9510.

NPI 1588702039Fairport, NYGeneral Practice Dentistry

Profile Overview

NPI
1588702039
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
February 04, 2007
Last Updated
July 08, 2007

Practice Location

  • 260 Packetts Lndg
  • Fairport, NY 14450-1569

Phone: (585) 223-9510

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1588702039
Entity Type
Individual
Last Name
Drake
First Name
Anita
Middle Name
T.
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
260 Packetts Lndg
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1569
Mailing Country
US
Mailing Phone
(585) 223-9510
Practice Street Address
260 Packetts Lndg
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1569
Practice Country
US
Practice Phone
(585) 223-9510
Enumeration Date
February 04, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)