Provider Demographics
NPI:1366499857
Name:HELERSTEIN, ALAN MARK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARK
Last Name:HELERSTEIN
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 1:7035 CAVIRO LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3751
Mailing Address - Country:US
Mailing Address - Phone:516-318-2839
Mailing Address - Fax:561-810-8575
Practice Address - Street 1:8645 BOYNTON BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4415
Practice Address - Country:US
Practice Address - Phone:516-318-2839
Practice Address - Fax:561-810-8575
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4443122300000X
FLHAD5122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist