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John E Allen, DDS

Dentist, General Practice in Roseville, CA. Individual provider (NPI-1).

NPI number1992863476
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992863476
Entity type
Individual (NPI-1)
Name
John E Allen
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
Excluded since Jan 20, 2010 (1128b4)

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice28270CAYes

Practice location

729 Sunrise Ave
Suite 615
Roseville, CA 95661-4548

Phone 916-783-4888 · Fax 916-783-1118

Mailing address

729 Sunrise Ave
Suite 615
Roseville, CA 95661-4548

Phone 916-783-4888 · Fax 916-783-1118

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.

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