Provider Demographics
NPI:1578772638
Name:VANALSTINE, NANCY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:VANALSTINE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 TOWNER BLVD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5037
Mailing Address - Country:US
Mailing Address - Phone:734-971-3184
Mailing Address - Fax:734-482-5044
Practice Address - Street 1:1900 PACKARD RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1851
Practice Address - Country:US
Practice Address - Phone:734-482-8500
Practice Address - Fax:734-482-5044
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI183921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice