Provider Demographics
NPI:1578665089
Name:ALPERIN, LORI MOSCOVITZ (DDS)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:MOSCOVITZ
Last Name:ALPERIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:B
Other - Last Name:MOSCOVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3410 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3205
Mailing Address - Country:US
Mailing Address - Phone:757-393-2568
Mailing Address - Fax:757-399-5069
Practice Address - Street 1:3410 COUNTY ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3205
Practice Address - Country:US
Practice Address - Phone:757-393-2568
Practice Address - Fax:757-399-5069
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010082881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2726OtherDOMINION DENTAL PROVIDER
VA106597OtherANTHEM PROVIDER NO.
VA86564OtherUNITED CONCORDIA PROVIDER
VA86564OtherUNITED CONCORDIA PROVIDER