Denise Lynn Alston, D.D.S.

Individual provider Active NPI General Practice Dentistry · Lancaster, PA

NPI 1144360306 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1144360306
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D5035650 (PA)
Practice address
2135 Noll Dr
Suite C
Lancaster, PA 17603-7602
Phone
(717) 397-7625
Fax
(717) 397-6057
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D5035650PAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5035650 PA Yes

Addresses

Primary practice location

2135 Noll Dr
Suite C
Lancaster, PA 17603-7602

Mailing address

2135 Noll Dr
Suite C
Lancaster, PA 17603-7602
Phone (717) 522-1083

Other identifiers

IdentifierTypeStateIssuer
1008214910002MedicaidPA

Other providers in Lancaster, PA

All providers in Lancaster, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.