Provider Demographics
NPI:1205994738
Name:GALPERIN, ALEXANDER A (DDS)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:A
Last Name:GALPERIN
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 1:183 MAIN ST
Mailing Address - Street 2:#B
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1250
Mailing Address - Country:US
Mailing Address - Phone:212-206-9977
Mailing Address - Fax:
Practice Address - Street 1:363 W 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2202
Practice Address - Country:US
Practice Address - Phone:212-206-9977
Practice Address - Fax:212-217-0210
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049486-1122300000X
NJ22D102142700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist