Healthcare Provider Details

I. General information

NPI: 1922581578
Provider Name (Legal Business Name): ALAN LIU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 HUNT CLUB BLVD STE 800
GALLATIN TN
37066-6049
US

IV. Provider business mailing address

1509 HUNT CLUB BLVD STE 800
GALLATIN TN
37066-6049
US

V. Phone/Fax

Practice location:
  • Phone: 615-452-6765
  • Fax:
Mailing address:
  • Phone: 615-452-6765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10866
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: