Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALAN ROY ANTAO, DMD
ActiveALAN ROY ANTAO, DMD is a Dentist healthcare provider located in BOURBON, Indiana. NPI 1841592235 is currently active in the NPPES registry. Verify at CMS.
Dentist · BOURBON, IN
Registration Details
- NPI Number
- 1841592235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2010 (15.701663280888 yrs)
- Last Updated
- Sep 25, 2024
- Licenses
-
DN21372 (FL)12014150A (IN)
Practice Information
- Address
-
909 N WASHINGTON STBOURBON, IN, 465041447Browse IN providers · Browse ZIP 46504
- Phone
- 5743424385
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.