Provider Demographics
NPI:1881832418
Name:MARKOFF, ALAN STUART (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STUART
Last Name:MARKOFF
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:P.O. BOX 504699
Mailing Address - Street 2:CHALAN KIYA
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-3820
Mailing Address - Country:US
Mailing Address - Phone:670-234-3810
Mailing Address - Fax:670-234-3820
Practice Address - Street 1:KULOT DIROVA DRIVE
Practice Address - Street 2:SAIPAN HEALTH CLINIC BLDG., CHALAN KIYA
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-234-3810
Practice Address - Fax:670-234-3820
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0081122300000X
TX7387122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist