Provider Demographics
NPI:1598909475
Name:BOVE, ALFRED (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:
Last Name:BOVE
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 1:2512 SW 14TH AVE APT 507
Mailing Address - Street 2:BX 30
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-2257
Mailing Address - Country:US
Mailing Address - Phone:954-533-0157
Mailing Address - Fax:
Practice Address - Street 1:2512 SW 14TH AVE APT 507
Practice Address - Street 2:BX 30
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-2257
Practice Address - Country:US
Practice Address - Phone:954-533-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12658122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist