Organization Active NPI

Clifford L. Anzilotti, D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
National Provider Identifier
1396905550
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1990015088 Issued in DE
Legal business name
CLIFFORD L. ANZILOTTI, D.M.D., P.A.
Practice address
2101 Foulk Rd
Wilmington, DE 19810-4710
Phone
(302) 475-2050
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Clifford L. Anzilotti Jr., D.M.D.
Title
President
Phone
(302) 475-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1990015088 DE Primary

Addresses

Primary practice location

2101 Foulk Rd
Wilmington, DE 19810-4710

Mailing address

2101 Foulk Rd
Wilmington, DE 19810-4710
Phone (302) 475-2050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1396905550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104710",
            "telephone_number": "302-475-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104710",
            "telephone_number": "302-475-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD L. ANZILOTTI, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ANZILOTTI",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-475-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DE",
            "license": "1990015088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.