Provider Demographics
NPI:1750588182
Name:SIPE, ANNA LEIGH (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LEIGH
Last Name:SIPE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3020 HARTLEY RD
Mailing Address - Street 2:SUITE #210
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257
Mailing Address - Country:US
Mailing Address - Phone:904-264-5437
Mailing Address - Fax:904-485-8417
Practice Address - Street 1:12740 ATLANTIC BLVD.
Practice Address - Street 2:SUITE #12
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225
Practice Address - Country:US
Practice Address - Phone:904-264-5437
Practice Address - Fax:904-485-8417
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2020-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN20924122300000X
NC8546122300000X
FLDN 209241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist