Provider Demographics
NPI:1790270288
Name:GARRAD, ALISON KATHERINE (DDS)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:KATHERINE
Last Name:GARRAD
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 1:6438 E LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2227
Mailing Address - Country:US
Mailing Address - Phone:214-566-7129
Mailing Address - Fax:
Practice Address - Street 1:18217 MIDWAY RD STE 122
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4938
Practice Address - Country:US
Practice Address - Phone:972-307-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice