MEDICARE: DR. ALFRED J PALETTI DDS

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	13561	TX

General Provider Information

NPI Number	:	1831199801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED J PALETTI DDS

Provider Business Mailing Address
First Line	:	5510 ABRAMS RD
Second Line	:	STE 102
City	:	DALLAS
State	:	TX
Zip	:	75214-2000
Country	:	US
Telephone Number	:	214-691-2969
Fax Number	:	214-691-2959

Provider Business Practice Location Address
First Line	:	5510 ABRAMS RD
Second Line	:	STE 102
City	:	DALLAS
State	:	TX
Zip	:	75214-2000
Country	:	US
Telephone Number	:	214-691-2969
Fax Number	:	214-691-2959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	07/08/2007

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