Provider Demographics
NPI:1407196876
Name:MILANI, ALESSANDRO (DMD)
Entity Type:Individual
Prefix:
First Name:ALESSANDRO
Middle Name:
Last Name:MILANI
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 1:12311 NACOGDOCHES RD
Mailing Address - Street 2:107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2138
Mailing Address - Country:US
Mailing Address - Phone:210-656-7600
Mailing Address - Fax:210-656-7660
Practice Address - Street 1:12311 NACOGDOCHES RD
Practice Address - Street 2:107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2138
Practice Address - Country:US
Practice Address - Phone:210-656-7600
Practice Address - Fax:210-656-7660
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX304961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice