Provider Demographics
NPI:1043255870
Name:LENTZ, ALAN E (DMD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:E
Last Name:LENTZ
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 1:17 SANDY BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-7502
Mailing Address - Country:US
Mailing Address - Phone:717-486-3025
Mailing Address - Fax:717-245-3529
Practice Address - Street 1:450 GIBNER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-5003
Practice Address - Country:US
Practice Address - Phone:717-245-4542
Practice Address - Fax:717-245-3529
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021297L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice