Provider Demographics
NPI:1972514230
Name:ALIKHANI, KATHY (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHY
Middle Name:
Last Name:ALIKHANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KATAYOUN
Other - Middle Name:
Other - Last Name:ALIKHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:134 WASHINGTON ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-982-8900
Mailing Address - Fax:781-836-4282
Practice Address - Street 1:134 WASHINGTON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061
Practice Address - Country:US
Practice Address - Phone:781-982-8900
Practice Address - Fax:781-836-4282
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA172851223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics