Provider Demographics
NPI:1710145628
Name:ALBRIGHT, ALYSSA JO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:JO
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OLD MAMARONECK ROAD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2060
Mailing Address - Country:US
Mailing Address - Phone:914-761-3018
Mailing Address - Fax:914-761-3058
Practice Address - Street 1:20 OLD MAMARONECK RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2060
Practice Address - Country:US
Practice Address - Phone:914-761-3018
Practice Address - Fax:914-761-3058
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0486661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice