Anny Vandam, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4170 Issued in SC

Practice address

3026 Farrow Rd
Columbia, SC 29203-7002

Phone

(803) 255-0200

Fax

(803) 255-0222

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anny Zalesne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1609933811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037002",
            "telephone_number": "803-255-0200",
            "fax_number": "803-255-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037002",
            "telephone_number": "803-255-0200",
            "fax_number": "803-255-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAM",
        "first_name": "ANNY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNY",
            "last_name": "ZALESNE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Ann Van Delden, LISW
• Katherine Brooks Van Gurp, OTR/L
• Hannah Van Law, RBT
• Oshanna Vanager
• Darlene Lawson Vancleave, PHARMD
• Robert A Vande Stouwe, MD PH D
• Marina Vanderslice
• Peter J Vandersteenhoven, MD
• Victoria Vandeusen
• Linda B Vanduys, N.P.

• Periodontics in Columbia, SC
• Providers in Columbia, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.