MEDICARE: DR. ANDREW SCOTT ALAMAR DDS

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	1223P0700X	Prosthodontics	DS023405L	PA
2	1223P0700X	Prosthodontics	DT2553	HI

General Provider Information

NPI Number	:	1548246481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW SCOTT ALAMAR DDS

Provider Business Mailing Address
First Line	:	91-1071 WAIKAI ST
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6458
Country	:	US
Telephone Number	:	808-341-8467
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1071 WAIKAI ST
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6458
Country	:	US
Telephone Number	:	808-341-8467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	08/15/2014

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