Anthony R. Lister, DDS

General Practice Dentistry · Old Forge, NY

Individual Active NPI

NPI number 1679770523

Practice location

114 S Shore Rd
Old Forge, NY 13420-7786
Phone
(315) 369-6634

Open in Google Maps

NPI record

NPI
1679770523
Entity type
Individual (Type 1)
Enumeration date
July 2, 2007
Last updated
June 20, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 052886 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 052886 NY

Mailing address

PO Box 66
Old Forge, NY 13420-0066
Phone
(153) 369-6634

About Dr. Lister

Anthony R. Lister, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 114 S Shore Rd, Old Forge, NY 13420-7786. The NPI number 1679770523 was assigned on July 2, 2007 and the record was last updated on June 20, 2019.

Dr. Lister lists 2 licenses in the registry: #052886 (NY) for General Practice Dentistry; #052886 (NY) for Orthodontics and Dentofacial Orthopedics Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony R. Lister, DDS?

The NPI number is 1679770523.

What is the phone number of Dr. Lister?

The phone number listed for the practice location is (315) 369-6634.

Where is Dr. Lister located?

114 S Shore Rd, Old Forge, NY 13420-7786.

What is the taxonomy code for Dr. Lister?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Old Forge

All General Practice Dentistry providers in Old Forge, NY →