Provider Demographics
NPI:1083716419
Name:ALVAREZ, OSCAR (DDS)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 WHITEHALL RD
Mailing Address - Street 2:ALVAREZ DENTAL PLLC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209
Mailing Address - Country:US
Mailing Address - Phone:518-436-9771
Mailing Address - Fax:518-436-9794
Practice Address - Street 1:123 WHITEHALL RD
Practice Address - Street 2:ALVAREZ DENTAL PLLC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209
Practice Address - Country:US
Practice Address - Phone:518-436-9771
Practice Address - Fax:518-436-9794
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04577111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice