Provider Demographics
NPI:1902967870
Name:ALFERT, ARNOLD LEON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:LEON
Last Name:ALFERT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 RAILROAD PL
Mailing Address - Street 2:510
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2192
Mailing Address - Country:US
Mailing Address - Phone:518-587-2483
Mailing Address - Fax:
Practice Address - Street 1:200 SMITH DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:NY
Practice Address - Zip Code:12822-1341
Practice Address - Country:US
Practice Address - Phone:518-654-7680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0273691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice