Provider Demographics
NPI:1174668503
Name:ALTERMAN, ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:ALTERMAN
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 1:3611 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-3410
Mailing Address - Country:US
Mailing Address - Phone:718-984-0070
Mailing Address - Fax:718-966-7498
Practice Address - Street 1:3611 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3410
Practice Address - Country:US
Practice Address - Phone:718-984-0070
Practice Address - Fax:718-966-7498
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY0355911223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry