Marc Alfant, D.D.S., M.M.SC.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9395 Issued in FL

Practice address

729 E Strawbridge Ave
Melbourne, FL 32901-4774

Phone

(321) 984-2461

Fax

(321) 952-0446

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336298710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E STRAWBRIDGE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014774",
            "telephone_number": "321-984-2461",
            "fax_number": "321-952-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E STRAWBRIDGE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014774",
            "telephone_number": "321-984-2461",
            "fax_number": "321-952-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFANT",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.M.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "9395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirley Aleman Alejo
• Kelly C Aleman, LD RD CDE
• Alisha Ryan Alexander, APRN
• Amarin Alexander, MD
• Erin Michelle Alexander, M.S., CCC-SLP
• Richard Alfaro, LCSW
• Travis Alford, ARNP
• Muhammad R Ali, BDS
• Sabir Ali, M.D.
• Align Physical Therapy, Inc.

• Periodontics in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.