Provider Demographics
NPI:1043215205
Name:KLEIMAN, ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:KLEIMAN
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 1:7881 AMETHYST LAKE PT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6976
Mailing Address - Country:US
Mailing Address - Phone:856-296-2149
Mailing Address - Fax:561-594-1468
Practice Address - Street 1:7881 AMETHYST LAKE PT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6976
Practice Address - Country:US
Practice Address - Phone:856-296-2149
Practice Address - Fax:561-594-1468
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2023-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI107671223S0112X
FLDTP7301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U23957Medicare UPIN