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Contact Information

ALLEN ENDODONTICS, LLC
6605 N 19TH AVE
SUITE B
PHOENIX, AZ85015-1628
 Phone: 602-242-4745
 Fax: 602-246-4748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ALLEN ENDODONTICS, LLC

NPI # 1013038264
LBN Legal business name ALLEN ENDODONTICS, LLC
Authorized official JACQUELINE ALLEN - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AZ License # 4952
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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