Healthcare Provider Details

I. General information

NPI: 1710804752
Provider Name (Legal Business Name): BASEL N M ALKRUNZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 SPRING VALLEY RD
LANCASTER PA
17601-2427
US

IV. Provider business mailing address

2014 HERTEL AVE UNIT UPPER
BUFFALO NY
14214-1030
US

V. Phone/Fax

Practice location:
  • Phone: 717-481-7645
  • Fax:
Mailing address:
  • Phone: 315-455-0642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045956
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: