Provider Demographics
NPI:1770609703
Name:ALVAREZ, MARIA (DDS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 MANSON AXTELL RD
Mailing Address - Street 2:
Mailing Address - City:MANSON
Mailing Address - State:NC
Mailing Address - Zip Code:27553-0425
Mailing Address - Country:US
Mailing Address - Phone:252-456-2181
Mailing Address - Fax:252-456-4229
Practice Address - Street 1:986 MANSON AXTELL RD
Practice Address - Street 2:
Practice Address - City:MANSON
Practice Address - State:NC
Practice Address - Zip Code:27553-0425
Practice Address - Country:US
Practice Address - Phone:252-456-2181
Practice Address - Fax:252-456-4229
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice