Lister, Anthony R

Lister, Anthony R is an sole proprietor health care provider with primary practice located at 114 S Shore Rd , Old Forge NY 13420-7786. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Lister, Anthony R can be contacted via phone (315) 369-6634.

Contact Information

Primary practice address
114 S Shore Rd Old Forge NY 13420-7786
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 052886 New York
Dental Providers / General Practice 1223G0001X 052886 New York

Profile Details

NPI number 1679770523
LBN Legal business name Lister, Anthony R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Jun 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers