Provider Demographics
NPI:1346367802
Name:ALCS INC.
Entity type:Organization
Organization Name:ALCS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LALITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-770-1451
Mailing Address - Street 1:101 PLEASANT ST
Mailing Address - Street 2:SUITE #106
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-3213
Mailing Address - Country:US
Mailing Address - Phone:508-770-1451
Mailing Address - Fax:508-770-1452
Practice Address - Street 1:101 PLEASANT ST
Practice Address - Street 2:SUITE #106
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-3213
Practice Address - Country:US
Practice Address - Phone:508-770-1451
Practice Address - Fax:508-770-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA189101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty