NPIMap

Organization Active NPI

Anthony J. Destefano, DMD, PA

Doing business as bite dental

  • General Practice Dentistry
  • Morrisville, NC
National Provider Identifier
1821351784
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8692 Issued in NC
Legal business name
ANTHONY J. DESTEFANO, DMD, PA
Doing business as
bite dental
Practice address
6101 Grace Park Dr
Morrisville, NC 27560-6003
Phone
(919) 571-2484
Fax
(919) 571-2486
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Anthony Jason Destefano, D.M.D.NPI 1255495370
Title
Owner/Dentist
Phone
(919) 723-7461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8692 NC Primary

Addresses

Primary practice location

6101 Grace Park Dr
Morrisville, NC 27560-6003

Mailing address

6101 Grace Park Dr
Morrisville, NC 27560-6003
Phone (919) 571-2484

Other names 1

  • bite dental Doing business as

National Provider Directory

National Provider Directory

Locations

6101 Grace Park Dr
Morrisville, NC 27560
Phone (919) 571-2484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1821351784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 GRACE PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606003",
            "telephone_number": "919-571-2484",
            "fax_number": "919-571-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 GRACE PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606003",
            "telephone_number": "919-571-2484",
            "fax_number": "919-571-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. DESTEFANO, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "919-723-7461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bite dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.