Provider Demographics
NPI:1033551700
Name:ALANI, DEENA
Entity Type:Individual
Prefix:
First Name:DEENA
Middle Name:
Last Name:ALANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 MORRISON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-3401
Mailing Address - Country:US
Mailing Address - Phone:423-305-6400
Mailing Address - Fax:423-305-6419
Practice Address - Street 1:1825 GUNBARREL RD STE 400B
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4796
Practice Address - Country:US
Practice Address - Phone:423-713-7333
Practice Address - Fax:423-713-7334
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN97341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNW13059208COtherDEA