MEDICARE: ULAN ALIEV 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	1223D0001X	Public Health Dentistry	DN 19698	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1972866994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ULAN ALIEV DDS

Provider Business Mailing Address
First Line	:	1801 SE 32ND AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-5532
Country	:	US
Telephone Number	:	352-622-2664
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 W SILVER SPRINGS BLVD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34475-6456
Country	:	US
Telephone Number	:	352-622-2664
Fax Number	:

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

Provider Enumeration Date	:	06/25/2012
Last Update Date	:	10/31/2013

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Directions to “ ULAN ALIEV DDS” Practice Location

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