Alto, Dale L
Alto, Dale L is an sole proprietor health care provider with primary practice located at 3100 N Academy Blvd Suite 213, Colorado Springs CO 80917-5321. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Alto, Dale L can be contacted via phone (719) 597-4060.Contact Information
Primary practice address
3100 N Academy Blvd Suite 213
Colorado Springs CO 80917-5321
Phone: (719) 597-4060
Fax: (719) 574-2140
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9675 | Colorado |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 2403 | Ohio |
Profile Details
NPI number | 1528261682 |
---|---|
LBN Legal business name | Alto, Dale L |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2007 |
Last updated | Mar 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528261682 | NPPES |
Colorado | MEDICAID | 34054022 |
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