# ALAN REISMAN, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922361062
- **Authorized official:** DR. ALAN JON REISMAN DDS (OWNER)
- **Authorized official phone:** (303) 665-2377

## Contact information

- **Practice address:** 1075 S BOULDER RD STE 135, LOUISVILLE, CO 80027-2559
- **Practice address phone:** (303) 665-2377
- **Practice address fax:** (303) 665-1301
- **Mailing address:** 1075 S BOULDER RD STE 135, LOUISVILLE, CO 80027-2559
- **Mailing address phone:** (303) 665-2377
- **Mailing address fax:** (303) 665-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7346 | CO | Yes |

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 06/22/2012