Provider Demographics
NPI:1861505554
Name:WEINSTEIN, ALAN BARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:BARRY
Last Name:WEINSTEIN
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 1:5669 PEACHTREE DUNWOODY RD NW
Mailing Address - Street 2:SUITE 375,
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-252-1216
Mailing Address - Fax:404-252-1726
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD NW
Practice Address - Street 2:SUITE 375,
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-252-1216
Practice Address - Fax:404-252-1726
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA72661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice