Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN10570 | FL |
NPI | 1073732442 |
---|---|
Provider Name | Dr. Silas Edward Mcaninch |
First Address | Sarasota, FL 34239-4507 |
Second Address | Sarasota, FL 34239-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 25/05/2012 |