Avery Chikezie Anaje
Individual provider Active NPI Public Health Dentistry · Bartow, FL
NPI 1194362848 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1194362848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- D.0006720-C1 (AL)
- Practice address
- 2390 Bob Phillips Rd
Bartow, FL 33830-7706 - Phone
- (863) 534-6123
- NPI assigned
- Dec 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.0006720-C1 | AL | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa Dental Systems PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D.0006720-C1 | AL | Yes |
Addresses
Primary practice location
2390 Bob Phillips Rd
Bartow, FL 33830-7706
Mailing address
1210 Forest Gate Cir
Haines City, FL 33844-9418
Other providers in Bartow, FL
- Nicole Allen
- Alm Caring Hands
- Bertha Alvarez
- American Current Care P.a .
- Amerivita Home Care West LLC
- Brandi Ancrum
- Melissa D Anderson
- Summer Anderson
- Aqui Chiropractic Clinic LLC
- Alexis G Aqui
All providers in Bartow, FL · Public Health Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.