Erin Paige Aleman, D.M.D
Individual provider Active NPI Dentist · Virginia, IL
NPI 1265631691 · NPPES record last updated Mar 16, 2016
Key facts
- NPI
- 1265631691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019-027408 (IL)
- Practice address
- 331 S Main St
Virginia, IL 62691-1571 - Phone
- (217) 452-3057
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| 019-027408 | IL | MD | Dentist |
Interoperability endpoints
- erin.aleman.p15@direct.fhn-fqhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-027408 | IL | Yes |
Addresses
Primary practice location
331 S Main St
Virginia, IL 62691-1571
Mailing address
331 S Main St
Virginia, IL 62691-1571
Phone (217) 452-3057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019-027408 | Other | IL | ILLINOIS DENTAL LICENSE |
Other providers in Virginia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2016. 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.