Provider Demographics
NPI:1275514267
Name:CADARET, ALISON THOMPSON (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:THOMPSON
Last Name:CADARET
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:GAIL
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:498 HARLOW RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1336
Mailing Address - Country:US
Mailing Address - Phone:541-746-6239
Mailing Address - Fax:541-988-5464
Practice Address - Street 1:498 HARLOW RD
Practice Address - Street 2:SUITE 5
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-1336
Practice Address - Country:US
Practice Address - Phone:541-746-6239
Practice Address - Fax:541-988-5464
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD8499122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist