Provider Demographics
NPI:1912083221
Name:DINKIN, ALAN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:DINKIN
Suffix:
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 1:19201 MONTGOMERY VILLAGE AVE STE A26
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5043
Mailing Address - Country:US
Mailing Address - Phone:301-869-1441
Mailing Address - Fax:
Practice Address - Street 1:19201 MONTGOMERY VILLAGE AVE STE A26
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5043
Practice Address - Country:US
Practice Address - Phone:301-869-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-29
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD76391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice