DR. LARRY WILSON ANTHONY JR. (NPI# 1801128582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801128582 |
| Entity Type | Individual |
| Full Name | DR. LARRY WILSON ANTHONY JR. |
| Credential | D.D.S. |
| Practice Address |
2953 Broad Ave Memphis TN 38112-2957 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9012716050 |
| Practice Fax Number | 9012710699 |
| Mailing Telephone | 9012608551 |
| Mailing Fax Number | 9012608590 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN014026 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9470 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q001343 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639154800 | Larry J Anthony | Dentist | 1002 N Main St, Sikeston, MO 63801-5044 | 2005-12-10 |
| Street Address |
2953 BROAD AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38112-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609030832 | Christ Community Health Services Inc | Clinic/Center | 2953 Broad Ave, Memphis, TN 38112-2957 | 2008-07-16 |
| 1144853946 | Joseph Eric Choi Benson | Student in an Organized Health Care Education/Training Program | 2953 Broad Ave, Memphis, TN 38112-2957 | 2020-02-20 |
| 1003378779 | Yousef Odeh Jefferson | Dentist | 2953 Broad Ave, Memphis, TN 38112-2957 | 2019-04-02 |
| 1144788977 | Mariam George Habib | Student in an Organized Health Care Education/Training Program | 2953 Broad Ave, Memphis, TN 38112-2957 | 2019-03-11 |
| 1881151413 | Erica Robinson | Student in an Organized Health Care Education/Training Program | 2953 Broad Ave, Memphis, TN 38112-2957 | 2019-03-01 |
| 1942788567 | Christ Community Health Services, Inc. | Clinic/Center | 2953 Broad Ave, Memphis, TN 38112-2957 | 2018-08-06 |
| 1386140218 | Catherine Schricker | Dentist | 2953 Broad Ave, Memphis, TN 38112-2957 | 2018-03-31 |
| 1184156234 | William Travis King | Dentist | 2953 Broad Ave, Memphis, TN 38112 | 2017-03-29 |
| 1760844302 | Katherine Musser | Dentist | 2953 Broad Ave, Memphis, TN 38112-2957 | 2016-03-23 |
| 1275929432 | Jennifer Jo Wade | Dentist | 2953 Broad Ave, Memphis, TN 38112-2957 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
| 1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
| 1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
| 1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
| 1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
| 1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
| 1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
| Find all providers in zip 38112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on DR. LARRY WILSON ANTHONY JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.