Denise M Antalis DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

19405 Issued in OH

Legal business name

DENISE M ANTALIS DDS INC

Practice address

1500 Deerpath Drive
Cambridge, OH 43725-1143

Phone

(740) 439-2501

Fax

(740) 439-2240

NPI assigned

Apr 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Denise M. Antalis, D.D.S.

Title

Owner

Phone

(740) 439-2501

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1093980815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DEERPATH DRIVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437251143",
            "telephone_number": "740-439-2501",
            "fax_number": "740-439-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DEERPATH DRIVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437251143",
            "telephone_number": "740-439-2501",
            "fax_number": "740-439-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE M ANTALIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "ANTALIS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-439-2501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S Dayton, MD
• Jared O Dean, D.D.S.
• Mickey Deem, LPN
• Carolyn Jonelle Degarmo, LPN
• Erin Michelle Demkowicz, LISW
• Tom Denius
• Aleesha Dennis
• Mindy Janelle Dettra
• Amanda Devolld, MED, LPCC-S, LCDCIII
• Amber N Dewees

• Dentist in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.