Provider Demographics
NPI:1962587477
Name:HAN, ALISON H (DMD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:H
Last Name:HAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:HAI-TIEN
Other - Middle Name:
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:16300 REDMOND WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3856
Mailing Address - Country:US
Mailing Address - Phone:425-885-0200
Mailing Address - Fax:425-885-7601
Practice Address - Street 1:16300 REDMOND WAY STE 200
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3856
Practice Address - Country:US
Practice Address - Phone:425-885-0200
Practice Address - Fax:425-885-7601
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9366122300000X
WADE000093661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist