Provider Demographics
NPI:1003894049
Name:TOKAR, ALAN ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ROBERT
Last Name:TOKAR
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 1:224 NEWBERRY AVE
Mailing Address - Street 2:P.O. BOX 461
Mailing Address - City:NEWBERRY
Mailing Address - State:MI
Mailing Address - Zip Code:49868-1153
Mailing Address - Country:US
Mailing Address - Phone:906-293-3332
Mailing Address - Fax:906-293-1603
Practice Address - Street 1:224 NEWBERRY AVE
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:MI
Practice Address - Zip Code:49868-1153
Practice Address - Country:US
Practice Address - Phone:906-293-3332
Practice Address - Fax:906-293-1603
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010109251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4036496Medicaid