Individual provider · NPI-1

Dr. Dale Edwin Allen, D.M.D.

Dentist, Dental Public Health · Madison, AL

NPI number1376707869
StatusActive
Last updated in NPPESJul 14, 2008

Details

NPI
1376707869
Entity type
Individual (NPI-1)
Name
Dr. Dale Edwin Allen
Credential
D.M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 14, 2008
Last updated
Jul 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223D0001X Dentist, Dental Public Health4066ALYes

Practice location

7898 Madison Pike
Madison, AL 35758-1435

Phone 256-461-9970 · Fax 256-461-8169

Mailing address

7898 Madison Pike
Madison, AL 35758-1435

Phone 256-461-9970 · Fax 256-461-8169

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