Provider Demographics
NPI:1376781096
Name:BLECH, ALLISON FEIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:FEIN
Last Name:BLECH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:MICHELLE
Other - Last Name:FEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:22 BRINKERHOFF AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3126
Mailing Address - Country:US
Mailing Address - Phone:201-530-1853
Mailing Address - Fax:
Practice Address - Street 1:22 BRINKERHOFF AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3126
Practice Address - Country:US
Practice Address - Phone:201-530-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020111001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice