Provider Demographics
NPI:1356459531
Name:ALENT, BRIAN JEROME (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JEROME
Last Name:ALENT
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 MDG, UNIT 3215
Mailing Address - Street 2:
Mailing Address - City:RAMSTEIN AB
Mailing Address - State:APO AE
Mailing Address - Zip Code:09094
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:86 MDG UNIT 3215
Practice Address - Street 2:
Practice Address - City:RAMSTEIN AB
Practice Address - State:APO AE
Practice Address - Zip Code:09094
Practice Address - Country:DE
Practice Address - Phone:314-479-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339161223P0300X
MI29010191741223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics