Provider Demographics
NPI:1689293706
Name:ALTERMAN DHILLON AND ASSOCIATES
Entity Type:Organization
Organization Name:ALTERMAN DHILLON AND ASSOCIATES
Other - Org Name:THE MORRISVILLE DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-948-6787
Mailing Address - Street 1:9648 CHAPEL HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7846
Mailing Address - Country:US
Mailing Address - Phone:919-948-6787
Mailing Address - Fax:919-590-1519
Practice Address - Street 1:9648 CHAPEL HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7846
Practice Address - Country:US
Practice Address - Phone:919-948-6787
Practice Address - Fax:919-590-1519
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERMAN DHILLON & ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-09
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty