ALLEN DENTAL NPI 1700031135

NPI Information

NPI: 1700031135
Provider Name: ALLEN DENTAL
Classification: Denturist - 122400000X
Entity Type: Organization
Address:
6226 196TH ST SW
2-B,1-B
LYNNWOOD, WA
ZIP 98036
Phone: (425) 670-8670
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ALLEN DENTAL is a denturist in Lynnwood, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. ALLEN DENTAL NPI is 1700031135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6226 196TH ST SW
2-B,1-B
LYNNWOOD, WA
ZIP 98036-959
Phone: (425) 670-8670

The provider's authorized official is Andon D. Allen .
The authorized official title is Owner and has the following contact phone number (425) 670-8670.

The enumeration date for this NPI number is 11/26/2008 and was last updated on 11/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DE00003007	WASHINGTON	No
2	122400000X	Denturist		DN00000017	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5004858	MEDICAID	WASHINGTON
2	5056213	MEDICAID	WASHINGTON
3	5038724	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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