Provider Demographics
NPI:1942339262
Name:REMBOS, ALAN NEIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:NEIL
Last Name:REMBOS
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 1:2539 ESCADA CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3577
Mailing Address - Country:US
Mailing Address - Phone:239-272-4222
Mailing Address - Fax:
Practice Address - Street 1:12691 NEW BRITTANY BLVD
Practice Address - Street 2:SUITE # 3
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3631
Practice Address - Country:US
Practice Address - Phone:239-274-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist