Provider Demographics
NPI:1922103266
Name:ALIMENA, ALBERT J (DMD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:J
Last Name:ALIMENA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 BLACKBURN AVENUE
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1448
Mailing Address - Country:US
Mailing Address - Phone:412-741-1940
Mailing Address - Fax:412-741-1941
Practice Address - Street 1:535 BLACKBURN AVENUE
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1448
Practice Address - Country:US
Practice Address - Phone:412-741-1940
Practice Address - Fax:412-741-1941
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023996L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000093388OtherUNISON HEALTH PLAN OF PA
PA0005081163OtherAETNA PPO
PA0010050200001Medicaid