Provider Demographics
NPI:1720301930
Name:SELIM C. ALPTEKIN DMD, P.C.
Entity Type:Organization
Organization Name:SELIM C. ALPTEKIN DMD, P.C.
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:978-443-6682
Mailing Address - Street 1:708 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776
Mailing Address - Country:US
Mailing Address - Phone:978-443-6682
Mailing Address - Fax:978-443-6682
Practice Address - Street 1:708 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776
Practice Address - Country:US
Practice Address - Phone:978-443-6682
Practice Address - Fax:978-443-6682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SELIM C. ALPTEKIN D,M,D,, P.C.
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