Provider Demographics
NPI:1790850295
Name:NON, ALAN MITCHELL (DDS)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:MITCHELL
Last Name:NON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:127 SOUTH FIFTH STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1681
Mailing Address - Country:US
Mailing Address - Phone:215-538-0665
Mailing Address - Fax:215-538-0666
Practice Address - Street 1:127 SOUTH FIFTH STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1681
Practice Address - Country:US
Practice Address - Phone:215-538-0665
Practice Address - Fax:215-538-0666
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019406L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist