Provider Demographics
NPI:1285767558
Name:NEEFE, ALAN ROBERT (DDS)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:ROBERT
Last Name:NEEFE
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 1:1600 GILMORE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987
Mailing Address - Country:US
Mailing Address - Phone:507-454-1616
Mailing Address - Fax:507-454-8920
Practice Address - Street 1:1600 GILMORE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987
Practice Address - Country:US
Practice Address - Phone:507-454-1616
Practice Address - Fax:507-454-8920
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist