Provider Demographics
NPI:1477443406
Name:DAVIS, ALANA (DMD)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 E JOE ORR RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1272
Mailing Address - Country:US
Mailing Address - Phone:312-956-2229
Mailing Address - Fax:312-956-2229
Practice Address - Street 1:84 E JOE ORR RD
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1272
Practice Address - Country:US
Practice Address - Phone:312-956-2229
Practice Address - Fax:312-956-2229
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014837A1223G0001X
IL0190361021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice