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
Fax: (719) 574-2140
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528261682 NPPES
Colorado MEDICAID 34054022

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