Individual provider · NPI-1

Dr. John Allen, D.M.D.

Dentist, General Practice · New London, CT

NPI number1891871273
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891871273
Entity type
Individual (NPI-1)
Name
Dr. John Allen
Credential
D.M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6108CTYes

Other names

  • Jay Allen (Professional Name)

Practice location

464 Montauk Ave
New London, CT 06320-4606

Phone 860-443-3634 · Fax 860-444-7861

Mailing address

464 Montauk Ave
New London, CT 06320-4606

Phone 860-443-3634 · Fax 860-444-7861

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in New London, CT