Provider Demographics
NPI:1770506354
Name:BOOK, ALAN LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LOUIS
Last Name:BOOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 18TH ST NW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2529
Mailing Address - Country:US
Mailing Address - Phone:202-393-1919
Mailing Address - Fax:
Practice Address - Street 1:1601 18TH ST NW
Practice Address - Street 2:SUITE 3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2529
Practice Address - Country:US
Practice Address - Phone:202-393-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN21331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice