Leo E Alter, D.D.S.
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1699809087 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699809087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3516 (DC)
- Practice address
- 1140 19TH St NW
Ste. 410
Washington, DC 20036-6601 - Phone
- (202) 293-1067
- NPI assigned
- Mar 15, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3516 | DC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3516 | DC | Yes |
Addresses
Primary practice location
1140 19TH St NW
Ste. 410
Washington, DC 20036-6601
Mailing address
1140 19TH St NW
Ste. 410
Washington, DC 20036-6601
Phone (202) 293-1067
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All providers in Washington, DC · General Practice Dentistry in District of Columbia
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.