Andrew Michael Alpert, DMD
Individual provider Active NPI Periodontics · Aventura, FL
NPI 1104975879 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104975879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 5620 (FL)
- Practice address
- 2999 NE 191St St
#708
Aventura, FL 33180-3123 - Phone
- (305) 935-0122
- Fax
- (305) 935-2755
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5620 | FL | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5620 | FL | Yes |
Addresses
Primary practice location
2999 NE 191St St
#708
Aventura, FL 33180-3123
Mailing address
2999 NE 191St St
#708
Aventura, FL 33180-3123
Phone (305) 935-0122
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.