MEDICARE: ALPERS FAMILY AND COSMETIC DENTISTRY

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	261QD0000X	Dental Clinic/Center	8976	AZ

General Provider Information

NPI Number	:	1285112292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPERS FAMILY AND COSMETIC DENTISTRY

Provider Business Mailing Address
First Line	:	7500 E MCDONALD DR STE 101B
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-6000
Country	:	US
Telephone Number	:	480-998-3355
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 E MCDONALD DR STE 101B
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-6000
Country	:	US
Telephone Number	:	480-998-3355
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRISTOPHER ROBERT ALPERS
Credential	:	DDS
Telephone Number	:	480-208-3332

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/01/2018

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