Anthony South, DMD

NPI #1629700992 in Davenport, Florida

Provider Information

NPI Number: 1629700992
Entity Type: Individual
Name: Anthony South, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 27, 2022
Last Updated: Dec 19, 2023

Practice Location

Address: 43522 HIGHWAY 27
City: Davenport
State: Florida
ZIP Code: 33837-6812
Phone: (863) 777-9890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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