Provider Demographics
NPI:1497881734
Name:CAZAN, ALAN O (DDS)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:O
Last Name:CAZAN
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 1:10219 W. HIGHWAY 2 SUITE E
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224
Mailing Address - Country:US
Mailing Address - Phone:509-244-3655
Mailing Address - Fax:
Practice Address - Street 1:10219 W. HIGHWAY 2 SUITE E
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-9922
Practice Address - Country:US
Practice Address - Phone:509-244-3655
Practice Address - Fax:509-244-9527
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60051632122300000X
SDM7661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice