Provider Demographics
NPI:1295855930
Name:ALAN S HANDLER, DDS, LLC
Entity Type:Organization
Organization Name:ALAN S HANDLER, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:CDA
Authorized Official - Phone:636-532-3311
Mailing Address - Street 1:130 HILLTOWN VILLAGE CTR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-0709
Mailing Address - Country:US
Mailing Address - Phone:636-532-3311
Mailing Address - Fax:636-532-2001
Practice Address - Street 1:130 HILLTOWN VILLAGE CTR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-0709
Practice Address - Country:US
Practice Address - Phone:636-532-3311
Practice Address - Fax:636-532-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO125051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO=========OtherEIN