Dental Board of California
Licensing details for: 43677
Name: ALVAREZ, ALAN M
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Revoked, Stayed, Probation
Previous Names: ALVAREZ, ALAN MICHAEL
Address of Record
1155 N CAPITOL AVE #160
SAN JOSE CA 95132
SANTA CLARA county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: ALVAREZ, ALAN M
License/Registration Type: Conscious Sedation Permit
License Number: 741 Primary Status: Cancelled
Address :
1155 N. CAPITOL AVE.
STE. 160
SAN JOSE CA 95132
SANTA CLARA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL CENTER AND BIG PEOPLE, TOO! DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 6945 Primary Status: Current - Active
Address :
1155 N. CAPITOL AVE.
STE. 160
SAN JOSE CA 95132
SANTA CLARA COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: ALVAREZ, ALAN M
License/Registration Type: Moderate Sedation Permit
License Number: 174 Primary Status: Cancelled
Address :
1155 N. CAPITOL AVE STE 160
SAN JOSE CA 95132
SANTA CLARA COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: ALVAREZ, ALAN M
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4090 Primary Status: Cancelled
Address :
1155 N. Capitol Ave Ste 160
SAN JOSE CA 95132
SANTA CLARA COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: ALVAREZ, ALAN M
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1315 Primary Status: Cancelled
Address :
1155 N. CAPITOL AVE.
STE. 160
SAN JOSE CA 95132
SANTA CLARA COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: ALVAREZ, ALAN M
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 153 Primary Status: Current - Active
Address :
1155 N. CAPITOL AVE STE 160
SAN JOSE CA 95132
SANTA CLARA COUNTY
