Provider Demographics
NPI:1881935906
Name:ALPINE CONSUMER MARKETING & SOFTWARE CONSULTING, LLC
Entity type:Organization
Organization Name:ALPINE CONSUMER MARKETING & SOFTWARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:NOOT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-692-0147
Mailing Address - Street 1:686 E 110 S UNIT 201
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2871
Mailing Address - Country:US
Mailing Address - Phone:801-692-0147
Mailing Address - Fax:801-756-7780
Practice Address - Street 1:686 E 110 S UNIT 201
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2871
Practice Address - Country:US
Practice Address - Phone:801-692-0147
Practice Address - Fax:801-756-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
UT313143-9923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty