Provider Demographics
NPI:1265764583
Name:MARX, ALAN STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STEVEN
Last Name:MARX
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 1:1901 PENNSYLVANIA AVE, NW
Mailing Address - Street 2:#905
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006
Mailing Address - Country:US
Mailing Address - Phone:202-466-3599
Mailing Address - Fax:202-857-0608
Practice Address - Street 1:1901 PENNSYLVANIA AVE, NW
Practice Address - Street 2:#905
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-466-3599
Practice Address - Fax:202-857-0608
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN3210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist