Allen, Samuel Edward

Allen, Samuel Edward is an sole proprietor health care provider with primary practice located at 7505 Tower Rd , South Lyon MI 48178-7051. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Samuel Edward can be contacted via phone (248) 437-9328.

Contact Information

Primary practice address
7505 Tower Rd South Lyon MI 48178-7051
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901010995 Michigan

Profile Details

NPI number 1801965603
LBN Legal business name Allen, Samuel Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 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 1801965603 NPPES
Michigan Other 2901010995 MICHIGAN DENTAL LICENSE

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