MEDICARE: ALCS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	18910	MA

General Provider Information

NPI Number	:	1346367802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALCS INC.

Provider Business Mailing Address
First Line	:	101 PLEASANT ST
Second Line	:	SUITE #106
City	:	WORCESTER
State	:	MA
Zip	:	01609-3213
Country	:	US
Telephone Number	:	508-770-1451
Fax Number	:	508-770-1452

Provider Business Practice Location Address
First Line	:	101 PLEASANT ST
Second Line	:	SUITE #106
City	:	WORCESTER
State	:	MA
Zip	:	01609-3213
Country	:	US
Telephone Number	:	508-770-1451
Fax Number	:	508-770-1452

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LALITHA SHANKAR
Credential	:	DMD
Telephone Number	:	508-770-1451

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	04/17/2008

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