Healthcare Provider Details

I. General information

NPI: 1396540183
Provider Name (Legal Business Name): ALANIS NICOLE ALPIZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2025
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 BURLINGTON MALL RD
BURLINGTON MA
01803-4518
US

IV. Provider business mailing address

15764 NW 81ST CT
MIAMI LAKES FL
33016-6692
US

V. Phone/Fax

Practice location:
  • Phone: 781-333-5531
  • Fax:
Mailing address:
  • Phone: 305-904-9921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001537
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: