Provider Demographics
NPI:1306853460
Name:ALTER, MARSHALL J (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:J
Last Name:ALTER
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 1:231 CROSSWICKS ROAD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:BORDERTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-2602
Mailing Address - Country:US
Mailing Address - Phone:609-298-6660
Mailing Address - Fax:609-298-2640
Practice Address - Street 1:231 CROSSWICKS ROAD
Practice Address - Street 2:SUITE 13
Practice Address - City:BORDERTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-2602
Practice Address - Country:US
Practice Address - Phone:609-298-6660
Practice Address - Fax:609-298-2640
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI014756001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice