Provider Demographics
NPI:1558416990
Name:SULIKOWSKI, ALAN V (DMD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:V
Last Name:SULIKOWSKI
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 1:181 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-2317
Mailing Address - Country:US
Mailing Address - Phone:617-492-6070
Mailing Address - Fax:617-576-3848
Practice Address - Street 1:181 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-2317
Practice Address - Country:US
Practice Address - Phone:617-492-6070
Practice Address - Fax:617-576-3848
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA190661223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics