Allen, Thomas J

Allen, Thomas J is an individual health care provider with primary practice located at 1901 W Western Ave #B, South Bend IN 46619-3521. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Allen, Thomas J can be contacted via phone (574) 234-9033.

Contact Information

Primary practice address
1901 W Western Ave #B South Bend IN 46619-3521
Phone: (574) 234-9033
Fax: (574) 234-9059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12007316A Indiana

Profile Details

NPI number 1679567739
LBN Legal business name Allen, Thomas J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1679567739 NPPES
Indiana Other 88016N DELTA DENTAL

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