Healthcare Provider Details

I. General information

NPI: 1689500100
Provider Name (Legal Business Name): ALESSANDRA FORLANO DMD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4413 OUTER DR
NAPLES FL
34112-6762
US

IV. Provider business mailing address

3472 W 110TH TER
HIALEAH FL
33018-2180
US

V. Phone/Fax

Practice location:
  • Phone: 239-232-6618
  • Fax:
Mailing address:
  • Phone: 786-370-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDN28214
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: