Provider Demographics
NPI:1871525642
Name:ALPERIN, SCOTT L (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:L
Last Name:ALPERIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 LANDERBROOK DRIVE
Mailing Address - Street 2:#125
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-461-6390
Mailing Address - Fax:440-461-2990
Practice Address - Street 1:5825 LANDERBROOK DRIVE
Practice Address - Street 2:#125
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:440-461-6390
Practice Address - Fax:440-461-2990
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300145261223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT46884Medicare UPIN
OHAL0437662Medicare ID - Type Unspecified