Provider Demographics
NPI:1679785349
Name:SCOTT ALPIZAR, CHANTAL (DMD)
Entity type:Individual
Prefix:MS
First Name:CHANTAL
Middle Name:
Last Name:SCOTT ALPIZAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 WALNUT STREET
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090
Mailing Address - Country:US
Mailing Address - Phone:908-232-2678
Mailing Address - Fax:
Practice Address - Street 1:671 VALLEY RD
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:NJ
Practice Address - Zip Code:07933
Practice Address - Country:US
Practice Address - Phone:908-580-0870
Practice Address - Fax:908-580-1110
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02244101122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist