MEDICARE: ABDULLAH ALKANAN BDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics

General Provider Information

NPI Number	:	1093654758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABDULLAH ALKANAN BDS PLLC

Provider Business Mailing Address
First Line	:	7409 W GRANDRIDGE BLVD STE B
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-6710
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7409 W GRANDRIDGE BLVD STE B
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-6710
Country	:	US
Telephone Number	:	509-783-5722
Fax Number	:

Authorized Official
Title or Position	:	DR
Name	:	ABDULLAH ALKANAN
Credential	:
Telephone Number	:	312-613-2580

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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