Provider Demographics
NPI:1184947392
Name:SELIM C. ALPTEKIN DMD, PC
Entity type:Organization
Organization Name:SELIM C. ALPTEKIN DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SELIM
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALPTEKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-881-1290
Mailing Address - Street 1:214 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721
Mailing Address - Country:US
Mailing Address - Phone:508-881-1290
Mailing Address - Fax:508-881-8468
Practice Address - Street 1:214 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721
Practice Address - Country:US
Practice Address - Phone:508-881-1290
Practice Address - Fax:508-881-8468
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SELIM C. ALPTEKIN DMD, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty