location
search-icon
person
Anthony Coyle Fasi, DDS,MD
Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan
NPI 1659690204

Anthony Coyle Fasi is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Anthony Coyle Fasi practices in Ann Arbor, MI and has the professional credentials of DDS,MD. The NPI Number for Anthony Coyle Fasi is 1659690204 and holds a License No. 2901020181 (Michigan).

The current practice location address for Anthony Coyle Fasi is 2058 South State Street, Ann Arbor, MI and can be reached out via phone at 734-769-5302.

Location: 2058 South State Street, Ann Arbor, MI, 48104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659690204
Provider Name
Anthony Coyle Fasi
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
2058 South State Street, Ann Arbor, MI, 48104
Phone Number
734-769-5302
Fax Number
Provider Enumeration Date
05/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2058 South State Street
City
Ann Arbor
State
Michigan
Zip
48104
Phone Number
734-769-5302
Fax Number
person
Provider Business Mailing Address Details
Address
2058 South State Street
City
Ann Arbor
State
Michigan
Zip
48104
Phone Number
734-769-5302
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901020181 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2901020181 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.