Provider Demographics
NPI:1528419504
Name:VAN VOOREN, ALLISON (DDS, MS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:VAN VOOREN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:SCHUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:125 MCKINLEY ST N
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:55008-2220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 MCKINLEY ST N
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008-2220
Practice Address - Country:US
Practice Address - Phone:763-689-3134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7335122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist