Allen, Michael Thomas
Allen, Michael Thomas is an sole proprietor health care provider with primary practice located at 419 N Church St , Thomaston GA 30286-3611. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Michael Thomas can be contacted via phone (706) 647-7111.Contact Information
Primary practice address
419 N Church St
Thomaston GA 30286-3611
Phone: (706) 647-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10296 | Georgia |
Profile Details
| NPI number | 1023169067 |
|---|---|
| LBN Legal business name | Allen, Michael Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023169067 | NPPES |
| Georgia | MEDICAID | 00438743A |
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