Provider Demographics
NPI:1871563148
Name:MARFIA, SEAN ANTHONY (DMD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:ANTHONY
Last Name:MARFIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6885 GENEVA DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4395
Mailing Address - Country:US
Mailing Address - Phone:708-802-6272
Mailing Address - Fax:
Practice Address - Street 1:6885 GENEVA DR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-4395
Practice Address - Country:US
Practice Address - Phone:708-802-6272
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice