Provider Demographics
NPI:1316152176
Name:ALAN A DALESSANDRO DDS LTD
Entity type:Organization
Organization Name:ALAN A DALESSANDRO DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:DALESSANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-884-0125
Mailing Address - Street 1:2500 W HIGGINS RD
Mailing Address - Street 2:SUITE 665
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60195-5220
Mailing Address - Country:US
Mailing Address - Phone:847-884-0125
Mailing Address - Fax:847-884-0161
Practice Address - Street 1:2500 W HIGGINS RD
Practice Address - Street 2:SUITE 665
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-884-0125
Practice Address - Fax:847-884-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL190167161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty