Multiple Dental anomalies are rare findings in asymptomatic patient. Here, a case of multiple anomalies in permanent dentition is reported. Routine oral examination revealed fusion in mandibular anterior region. A mesiodense was observed in maxillary anterior region. In the panoramic radiograph view, multiple supernumerary teeth on either side were seen. The article describes unique case of multiple developmental anomalies in an asymptomatic patient and its review of literature.