| Allen Endodontics, Llc | |
|
6605 N 19th Ave Suite B Phoenix AZ 85015-1628 | |
| (602) 242-4745 | |
| (602) 246-4748 |
| Full Name | Allen Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6605 N 19th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Jacqueline Savannah Allen (MANAGING MEMBER) |
| Authorized Official Contact | 6022424745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Endodontics, Llc 6605 N 19th Ave Suite B Phoenix AZ 85015-1628 Ph: (602) 242-4745 | Allen Endodontics, Llc 6605 N 19th Ave Suite B Phoenix AZ 85015-1628 Ph: (602) 242-4745 |
| NPI Number | 1013038264 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013038264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4952 (Arizona) | Primary |
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