Provider Demographics
NPI:1639396526
Name:GORAL, ALAN CRAIG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CRAIG
Last Name:GORAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10789 BRADFORD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6403
Mailing Address - Country:US
Mailing Address - Phone:303-933-2273
Mailing Address - Fax:303-933-0183
Practice Address - Street 1:10789 BRADFORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6403
Practice Address - Country:US
Practice Address - Phone:303-933-2273
Practice Address - Fax:303-933-0183
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist