Provider Demographics
NPI:1083927305
Name:ALAN V DILSAVER DDS LTD
Entity Type:Organization
Organization Name:ALAN V DILSAVER DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:DILSAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-252-7414
Mailing Address - Street 1:2601 NAZARETH RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2714
Mailing Address - Country:US
Mailing Address - Phone:610-252-7414
Mailing Address - Fax:
Practice Address - Street 1:2601 NAZARETH RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2714
Practice Address - Country:US
Practice Address - Phone:610-252-7414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-23833L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty