Provider Demographics
NPI:1356110142
Name:ALENCAR DENTAL LLC
Entity type:Organization
Organization Name:ALENCAR DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALENCAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-426-2298
Mailing Address - Street 1:901 SE 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-5611
Mailing Address - Country:US
Mailing Address - Phone:954-426-2298
Mailing Address - Fax:
Practice Address - Street 1:901 SE 8TH AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-5611
Practice Address - Country:US
Practice Address - Phone:954-426-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty