Provider Demographics
NPI:1326430067
Name:ALIEFENDIC, ARMIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARMIN
Middle Name:
Last Name:ALIEFENDIC
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 1:1710 W 287 BUSINESS STE 140
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-4733
Mailing Address - Country:US
Mailing Address - Phone:972-351-9700
Mailing Address - Fax:
Practice Address - Street 1:1710 W 287 BUSINESS STE 140
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-4733
Practice Address - Country:US
Practice Address - Phone:972-351-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31002122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No122300000XDental ProvidersDentist