1275514267 NPI number — DR. ALISON THOMPSON CADARET D.D.S., PC

Table of content: DR. ALISON THOMPSON CADARET D.D.S., PC (NPI 1275514267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275514267 NPI number — DR. ALISON THOMPSON CADARET D.D.S., PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CADARET
Provider First Name:
ALISON
Provider Middle Name:
THOMPSON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S., PC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
THOMPSON
Provider Other First Name:
ALISON
Provider Other Middle Name:
GAIL
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275514267
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
498 HARLOW RD
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97477-1336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-746-6239
Provider Business Mailing Address Fax Number:
541-988-5464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
498 HARLOW RD
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97477-1336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-746-6239
Provider Business Practice Location Address Fax Number:
541-988-5464
Provider Enumeration Date:
11/08/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  D8499 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)