Provider Demographics
NPI:1831150077
Name:ALUMBAUGH, CECIL EDWARD JR (DDS)
Entity type:Individual
Prefix:DR
First Name:CECIL
Middle Name:EDWARD
Last Name:ALUMBAUGH
Suffix:JR
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 1:2641 TEXAS DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7016
Mailing Address - Country:US
Mailing Address - Phone:972-258-0758
Mailing Address - Fax:972-602-9374
Practice Address - Street 1:2641 TEXAS DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7016
Practice Address - Country:US
Practice Address - Phone:972-258-0758
Practice Address - Fax:972-602-9374
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics