MEDICARE: ALANI DENTAL 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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1659236123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALANI DENTAL PLLC

Provider Business Mailing Address
First Line	:	9310 OLD KINGS RD S STE 601
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-6178
Country	:	US
Telephone Number	:	904-737-8081
Fax Number	:

Provider Business Practice Location Address
First Line	:	9310 OLD KINGS RD S STE 601
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-6178
Country	:	US
Telephone Number	:	904-737-8081
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ABIGAIL ALANI
Credential	:
Telephone Number	:	904-737-8081

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ALANI DENTAL PLLC ” Practice Location

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