Allen, Doris J

Allen, Doris J is an individual health care provider with primary practice located at 406 N Ashley St , Ann Arbor MI 48103-3308. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Allen, Doris J can be contacted via phone (734) 998-9640.

Contact Information

Primary practice address
406 N Ashley St Ann Arbor MI 48103-3308
Phone: (734) 998-9640
Fax: (734) 998-9647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901015212 Michigan
Dental Providers / General Practice 1223G0001X 2901015212 Michigan

Profile Details

NPI number 1811021603
LBN Legal business name Allen, Doris J
Credentials DDS MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811021603 NPPES
Michigan MEDICAID 4124033
Michigan Other D152120

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