Provider Demographics
NPI:1225108467
Name:BREAM, ALAN JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOSEPH
Last Name:BREAM
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 1:1305 13TH ST
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-3631
Mailing Address - Country:US
Mailing Address - Phone:540-949-7246
Mailing Address - Fax:540-946-4912
Practice Address - Street 1:1305 13TH ST
Practice Address - Street 2:SUITE D-1
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-3631
Practice Address - Country:US
Practice Address - Phone:540-949-7246
Practice Address - Fax:540-946-4912
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010043791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice