MEDICARE: DR. ALAN KELMAN 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	122300000X	Dentist	DN17054	FL

General Provider Information

NPI Number	:	1760639223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN KELMAN DDS

Provider Business Mailing Address
First Line	:	5909 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1333
Country	:	US
Telephone Number	:	561-967-6453
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1333
Country	:	US
Telephone Number	:	561-967-6453
Fax Number	:

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/26/2008

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