Alan Jay Guber, D.M.D.

Individual provider Active NPI General Practice Dentistry · Tuckahoe, NY

NPI 1699860155 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699860155
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
032930 (NY)
Practice address
107 Lake Avenue
Tuckahoe, NY 10707-3915
Phone
(914) 961-3324
Fax
(914) 961-2237
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Titanium Dental PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032930 NY Yes

Addresses

Primary practice location

107 Lake Avenue
Tuckahoe, NY 10707-3915

Mailing address

107 Lake Avenue
Tuckahoe, NY 10707-3915
Phone (914) 961-3324

Other providers in Tuckahoe, NY

All providers in Tuckahoe, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.