Provider Demographics
NPI:1053770800
Name:ALANI DENTAL CENTER
Entity type:Organization
Organization Name:ALANI DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WESAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:865-307-5852
Mailing Address - Street 1:1825 GUNBARREL RD
Mailing Address - Street 2:SUITE 400B
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3130
Mailing Address - Country:US
Mailing Address - Phone:423-713-7333
Mailing Address - Fax:423-713-7334
Practice Address - Street 1:1825 GUNBARREL RD
Practice Address - Street 2:SUITE 400B
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3130
Practice Address - Country:US
Practice Address - Phone:423-713-7333
Practice Address - Fax:423-713-7334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9733122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty