Hector Alarcon

Individual provider Active NPI Dentist · Mesa, AZ

NPI 1326738121 · NPPES record last updated May 9, 2024

Key facts

NPI
1326738121
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
D012065 (AZ)
Practice address
5835 E Still Cir
Mesa, AZ 85206-3618
Phone
(212) 263-1229
NPI assigned
May 15, 2023
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)
No

State licenses

LicenseStateTypeSpecialty
D012065AZMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012065 AZ Yes

Addresses

Primary practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Mailing address

2427 Cogswell Rd
El Monte, CA 91732-3736
Phone (626) 417-6875

Other providers in Mesa, AZ

All providers in Mesa, AZ · Dentist in Arizona

Sources for this page

Verify at the official NPI Registry.