Provider Demographics
NPI:1144657271
Name:MAKKE, ALA'A Z (BDS)
Entity type:Individual
Prefix:DR
First Name:ALA'A
Middle Name:Z
Last Name:MAKKE
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ISLAND HILL AVE
Mailing Address - Street 2:APARTMENT#310
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-2643
Mailing Address - Country:US
Mailing Address - Phone:857-294-6625
Mailing Address - Fax:
Practice Address - Street 1:8 ISLAND HILL AVE
Practice Address - Street 2:APRTMENT 310
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148
Practice Address - Country:US
Practice Address - Phone:857-294-6625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist