NPI Profile for SAMUEL A ALLEN in SHREVEPORT, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X |
| NPI # | 1952503492 |
|
| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 06/05/2007 | |
| Last updated | 11/12/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SAMUEL A ALLEN
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