Provider Demographics
NPI:1053381277
Name:ALANIZ, STEVEN DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DANIEL
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 FM 156 S STE 100
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3625
Mailing Address - Country:US
Mailing Address - Phone:817-439-0123
Mailing Address - Fax:817-439-0137
Practice Address - Street 1:570 FM 156 S STE 100
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3625
Practice Address - Country:US
Practice Address - Phone:817-439-0123
Practice Address - Fax:817-439-0137
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS0149801OtherTEXAS DPS
TXS0149801OtherTEXAS DPS
FA2803371OtherFEDERAL DEA (NEW)