Dr. Carl Michael Allen, DDS
Dentist, Oral and Maxillofacial Pathology in Westerville, OH. Individual provider (NPI-1).
NPI number1811079668
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1811079668
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carl Michael Allen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2006
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0106X | Dentist, Oral and Maxillofacial Pathology | 30-014914 | OH | Yes |
| 122300000X | Dentist | 30.014914 | OH |
Practice location
477 Cooper Rd Ste 480Westerville, OH 43081-8095
Phone 614-823-7135 · Fax 614-823-7137
Mailing address
1810 Mackenzie Dr Fl 2Columbus, OH 43220-2967
Phone 614-273-2250 · Fax 614-273-2255
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