Provider Demographics
NPI:1588607899
Name:CLIFF, JOHN ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALAN
Last Name:CLIFF
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 1:1616 VIA FLORA
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-1872
Mailing Address - Country:US
Mailing Address - Phone:805-551-1061
Mailing Address - Fax:805-221-5567
Practice Address - Street 1:1616 VIA FLORA
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-1872
Practice Address - Country:US
Practice Address - Phone:805-551-1061
Practice Address - Fax:805-221-5567
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27973122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist