Individual provider · NPI-1
Samuel Alejandro Allen, DDS
Oral & Maxillofacial Surgery · Norfolk, VA
NPI number1952503492
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1952503492
- Entity type
- Individual (NPI-1)
- Name
- Samuel Alejandro Allen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Certification date
- Sep 11, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 7400 | LA | Yes |
| 122300000X | Dentist | 7400 | LA |
Practice location
600 Gresham DrNorfolk, VA 23507-1904
Phone 757-388-3000
Mailing address
10233 Rogers DrivePo Box 21
Nassawadox, VA 23413-0021
Phone 757-894-4329 · Fax 948-212-3352
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