Provider Demographics
NPI:1285112292
Name:ALPERS FAMILY AND COSMETIC DENTISTRY
Entity type:Organization
Organization Name:ALPERS FAMILY AND COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ALPERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-208-3332
Mailing Address - Street 1:7500 E MCDONALD DR STE 101B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-6000
Mailing Address - Country:US
Mailing Address - Phone:480-998-3355
Mailing Address - Fax:
Practice Address - Street 1:7500 E MCDONALD DR STE 101B
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-6000
Practice Address - Country:US
Practice Address - Phone:480-998-3355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8976261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental