Allen, Gary Wayne
Allen, Gary Wayne is an individual health care provider with primary practice located at 441 Sw Umatilla Ave Ste 200 , Redmond OR 97756-7039. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Allen, Gary Wayne can be contacted via phone (541) 504-3938.Contact Information
Primary practice address
441 Sw Umatilla Ave Ste 200
Redmond OR 97756-7039
Phone: (541) 504-3938
Fax: (541) 504-3907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00008439 | Washington |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 4806 | Oregon |
| Dental Providers / Dentist | 122300000X | 0401008461 | Virginia |
Profile Details
| NPI number | 1447364914 |
|---|---|
| LBN Legal business name | Allen, Gary Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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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