Provider Demographics
NPI:1598868929
Name:KATHY ALIKHANI DMD LLC
Entity Type:Organization
Organization Name:KATHY ALIKHANI DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST ENDODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-561-7400
Mailing Address - Street 1:353 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1903
Mailing Address - Country:US
Mailing Address - Phone:781-561-7400
Mailing Address - Fax:781-561-7402
Practice Address - Street 1:353 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1903
Practice Address - Country:US
Practice Address - Phone:781-561-7400
Practice Address - Fax:781-561-7402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA172851223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty