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General NPI Number Information
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NPI Number | 1639464662
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Entity Type | Individual
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Provider Name | VICTOR MANUEL ALARCON DDS
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Gender | Male
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Dates
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Enumeration Date | 06/17/2011
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 55 SACK BLVD
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City | LEOMINSTER
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State | MA
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Zip | 01453-3325
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Country | US
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Telephone | 978-466-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 356 PALISADE AVE APT 4F
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City | JERSEY CITY
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State | NJ
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Zip | 07307-1778
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Country | US
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Telephone | 617-851-6805
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1855732
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1855732
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License Number State | MA
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