Provider Demographics
NPI:1760652903
Name:LAING, ALAN RAY (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RAY
Last Name:LAING
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 1:1444 TREETOP DR
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2348
Mailing Address - Country:US
Mailing Address - Phone:517-316-2407
Mailing Address - Fax:517-349-2588
Practice Address - Street 1:1444 TREETOP DR
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2348
Practice Address - Country:US
Practice Address - Phone:517-316-2407
Practice Address - Fax:517-349-2588
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901013380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist