| Jeremy W. Allen Dmd | |
|
908 W 5th St Suite 114 London KY 40741-2417 | |
| (606) 231-0594 | |
| Not Available |
| Full Name | Jeremy W. Allen Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 908 W 5th St, London, Kentucky |
| Authorized Official Name and Position | Jeremy W Allen (DENTIST) |
| Authorized Official Contact | 6062310594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy W. Allen Dmd 908 W 5th St Suite 114 London KY 40741-2417 Ph: () - | Jeremy W. Allen Dmd 908 W 5th St Suite 114 London KY 40741-2417 Ph: (606) 231-0594 |
| NPI Number | 1508162629 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508162629 | NPI | - | NPPES |
| 60004306 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8365 (Kentucky) | Secondary |
| 1223G0001X | Dentist - General Practice | 8365 (Kentucky) | Primary |
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