Provider Demographics
NPI:1255485041
Name:SHLEIER, ALAN JAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JAY
Last Name:SHLEIER
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 1:805 DELTA AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45226-1242
Mailing Address - Country:US
Mailing Address - Phone:614-270-5886
Mailing Address - Fax:
Practice Address - Street 1:3529 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2625
Practice Address - Country:US
Practice Address - Phone:513-559-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300182891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0654242Medicaid