Provider Demographics
NPI:1407103807
Name:DRANSFIELD, ALAN DOUGLAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:DOUGLAS
Last Name:DRANSFIELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1957 RAYMOND DIEHL RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-3841
Mailing Address - Country:US
Mailing Address - Phone:850-385-2003
Mailing Address - Fax:850-385-2050
Practice Address - Street 1:1957 RAYMOND DIEHL RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-3841
Practice Address - Country:US
Practice Address - Phone:850-385-2003
Practice Address - Fax:850-385-2050
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19727122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist