Provider Demographics
NPI:1598736589
Name:CRAIN, ALLISON ALAINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ALAINE
Last Name:CRAIN
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:USS TARAWA LHA-1
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96622-1600
Mailing Address - Country:US
Mailing Address - Phone:619-556-3970
Mailing Address - Fax:
Practice Address - Street 1:USS TARAWA LHA-1
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96622-1600
Practice Address - Country:US
Practice Address - Phone:619-556-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52564122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist