| NPI | 1073632659 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-03-28 |
| Last Updated | 2012-01-17 |
| Mailing Address | 3205 Wildwood Plantation Dr Valdosta, GA 31605-1042 United States Phone: (229) 247-7585 | Fax: (229) 247-8901 📍 View Map |
| Primary Practice Address | 3205 Wildwood Plantation Dr Valdosta, GA 31605-1042 United States Phone: (229) 247-7585 | Fax: (229) 247-8901 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 509010518A | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | GA | DN012666 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1073632659
Fernando Alvarado D.D.S. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073632659. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The provider is located in Valdosta, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073632659?
NPI 1073632659 belongs to Fernando Alvarado D.D.S., a Dentist, Oral and Maxillofacial Surgery in Valdosta, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073632659 active?
The current status of NPI 1073632659 in the NPPES registry is Active. The record was last updated on 2012-01-17.
What specialty is NPI 1073632659?
NPI 1073632659 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073632659?
You can verify NPI 1073632659 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073632659?
The primary practice address on file for NPI 1073632659 is 3205 Wildwood Plantation Dr, Valdosta, GA 31605-1042. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073632659 issued?
NPI 1073632659 was first issued (enumerated) on 2007-03-28. The NPPES record was last updated on 2012-01-17.
Practice Location Map
Fernando Alvarado is located at 3205 Wildwood Plantation Dr, Valdosta, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fernando Alvarado. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073632659. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Oral and Maxillofacial Surgery | DN012666 | GA |