Provider Demographics
NPI:1932286259
Name:DREWRY, ALAN B (DDS)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:B
Last Name:DREWRY
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:PO BOX 696
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334
Mailing Address - Country:US
Mailing Address - Phone:931-433-5735
Mailing Address - Fax:931-433-5736
Practice Address - Street 1:602 WEST COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334
Practice Address - Country:US
Practice Address - Phone:931-433-5735
Practice Address - Fax:931-433-5736
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS2758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist