Individual provider · NPI-1

Matthew David Allen, D.D.S.

Dentist · Thornton, CO

NPI number1144533696
StatusActive
Last updated in NPPESMay 17, 2021

Details

NPI
1144533696
Entity type
Individual (NPI-1)
Name
Matthew David Allen
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2010
Certification date
May 17, 2021
Last updated
May 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDEN.00010255COYes

Practice location

8990 Washington St
Thornton, CO 80229-4537

Phone 720-929-1655 · Fax 720-565-4129

Mailing address

1735 S Public Rd Ste 203
Lafayette, CO 80026-7093

Phone 303-665-3036 · Fax 303-665-3397

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