Provider Demographics
NPI:1548399884
Name:DECHTER, ALAN LEE (DDS)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:LEE
Last Name:DECHTER
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 1:12900 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3742
Mailing Address - Country:US
Mailing Address - Phone:301-949-5400
Mailing Address - Fax:301-949-4320
Practice Address - Street 1:12900 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3742
Practice Address - Country:US
Practice Address - Phone:301-949-5400
Practice Address - Fax:301-949-4320
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD78321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice