Allen, Jeremy W

Allen, Jeremy W is an individual health care provider with primary practice located at 908 W 5Th St Suite 114, London KY 40741-2417. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Jeremy W can be contacted via phone (606) 330-0330.

Contact Information

Primary practice address
908 W 5Th St Suite 114 London KY 40741-2417
Phone: (606) 330-0330
Fax: (606) 877-8836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8365 Kentucky

Profile Details

NPI number 1386774057
LBN Legal business name Allen, Jeremy W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Sep 9th, 2011 - about 15 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 1386774057 NPPES
Kentucky MEDICAID 60004306

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