Provider Demographics
NPI:1659019420
Name:ALPHA DMD, PLLC
Entity Type:Organization
Organization Name:ALPHA DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALETHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:KYPRIOTAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-712-7271
Mailing Address - Street 1:21003 HIGHLAND KNOLLS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1565
Mailing Address - Country:US
Mailing Address - Phone:281-712-7271
Mailing Address - Fax:832-321-4976
Practice Address - Street 1:21003 HIGHLAND KNOLLS DR STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1565
Practice Address - Country:US
Practice Address - Phone:281-712-7271
Practice Address - Fax:832-321-4976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental