Provider Demographics
NPI:1467494682
Name:ALEMAR, DAVID (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ALEMAR
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 1:3500 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8230
Mailing Address - Country:US
Mailing Address - Phone:706-860-9882
Mailing Address - Fax:706-860-4740
Practice Address - Street 1:3500 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-8230
Practice Address - Country:US
Practice Address - Phone:706-860-9882
Practice Address - Fax:706-860-4740
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0123101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice