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NPI Code Detail

MEDICARE: DR. ALAN DAVID JANOFF DDS

MEDICARE: DR. ALAN DAVID JANOFF 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
1122300000XDentist30013410OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811068810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN DAVID JANOFF DDS
Provider Business Mailing Address
First Line : 1203 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-5044
Country : US
Telephone Number : 937-275-7448
Fax Number : 937-275-0018
Provider Business Practice Location Address
First Line : 1203 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-5044
Country : US
Telephone Number : 937-275-7448
Fax Number : 937-275-0018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/08/2007

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