Provider Demographics
NPI:1598980401
Name:DAVID ALLEY DDS APC
Entity Type:Organization
Organization Name:DAVID ALLEY DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-524-0207
Mailing Address - Street 1:300 E YORBA LINDA BLVD
Mailing Address - Street 2:STE E
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-2910
Mailing Address - Country:US
Mailing Address - Phone:714-524-0207
Mailing Address - Fax:714-524-1062
Practice Address - Street 1:300 E YORBA LINDA BLVD
Practice Address - Street 2:STE E
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-2910
Practice Address - Country:US
Practice Address - Phone:714-524-0207
Practice Address - Fax:714-524-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty