Provider Demographics
NPI:1518063866
Name:MCCAFFREY, ALAN THOMAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:THOMAS
Last Name:MCCAFFREY
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 1:900 S PAVILION CENTER DR STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4583
Mailing Address - Country:US
Mailing Address - Phone:702-243-8788
Mailing Address - Fax:702-243-5785
Practice Address - Street 1:900 S PAVILION CENTER DR STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-4583
Practice Address - Country:US
Practice Address - Phone:702-243-8788
Practice Address - Fax:702-243-5785
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV51131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice