Allen, Michael D

Allen, Michael D is an individual health care provider with primary practice located at 1852 N Mastick Way , Nogales AZ 85621-1063. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Allen, Michael D can be contacted via phone (520) 375-5032.

Contact Information

Primary practice address
1852 N Mastick Way Nogales AZ 85621-1063
Phone: (520) 375-5032
Fax: (520) 761-2159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X D7328 Arizona
Dental Providers / Dentist 122300000X D7328 Arizona

Profile Details

NPI number 1740480029
LBN Legal business name Allen, Michael D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Aug 13th, 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 1740480029 NPPES
Arizona MEDICAID 227533

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