Basic Information
Provider Information
NPI: 1104494228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOWNS
FirstName: ALISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21 DRUM HILL RD
Address2:  
City: CHELMSFORD
State: MA
PostalCode: 018241503
CountryCode: US
TelephoneNumber: 9782561717
FaxNumber:  
Practice Location
Address1: 21 DRUM HILL RD
Address2:  
City: CHELMSFORD
State: MA
PostalCode: 018241503
CountryCode: US
TelephoneNumber: 9782561717
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2021
LastUpdateDate: 09/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
122300000XDN1859110MAY Dental ProvidersDentist 

No ID Information.


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