Healthcare Provider Details

I. General information

NPI: 1801408463
Provider Name (Legal Business Name): ALEC HOUSE PELC DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 W UNIVERSITY DR
ROCHESTER MI
48307-1937
US

IV. Provider business mailing address

310 W UNIVERSITY DR
ROCHESTER MI
48307-1937
US

V. Phone/Fax

Practice location:
  • Phone: 248-651-8787
  • Fax:
Mailing address:
  • Phone: 248-931-2362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901600596
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: