Provider Demographics
NPI:1861947202
Name:REIFER, ALANA (DDS)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:
Last Name:REIFER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E OHIO ST
Mailing Address - Street 2:APT 1512
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3375
Mailing Address - Country:US
Mailing Address - Phone:214-405-5245
Mailing Address - Fax:
Practice Address - Street 1:345 E OHIO ST
Practice Address - Street 2:APT 1512
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3375
Practice Address - Country:US
Practice Address - Phone:214-405-5245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist