Healthcare Provider Details

I. General information

NPI: 1093097230
Provider Name (Legal Business Name): HEBA ALANI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2011
Last Update Date: 09/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 S HIGHLAND AVE SUITE 201
PITTSBURGH PA
15206-3937
US

IV. Provider business mailing address

631 CRAWFORD ST APT 301
PITTSBURGH PA
15219-3652
US

V. Phone/Fax

Practice location:
  • Phone: 412-661-7316
  • Fax: 412-661-5903
Mailing address:
  • Phone: 412-608-9725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS038902
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: