Dr Roosevelt Allen, DDS is a
Dentist - General Practice based in Davis Monthan A F B, Arizona. Dr Roosevelt Allen is licensed to practice in Delaware (license number ) and his current practice location is
4175 S Alamo Ave, Davis Monthan A F B, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 228-2654.
NPI number for Dr Roosevelt Allen is 1619947868 and his current mailing address is 13857 E Canyon Fairway Trl, Vail, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619947868.
Healthcare Provider's Profile
| Full Name | Dr Roosevelt Allen |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 4175 S Alamo Ave, Davis Monthan A F B, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619947868
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Roosevelt Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619947868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | LNO 4138 (Alabama) | Primary |
| 1223G0001X | Dentist - General Practice | (Delaware) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roosevelt Allen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roosevelt Allen, DDS
13857 E Canyon Fairway Trl,
Vail, AZ 85641-6464
Ph: (757) 876-3082 | Dr Roosevelt Allen, DDS
4175 S Alamo Ave,
Davis Monthan A F B, AZ 85707-6097
Ph: (520) 228-2654 |
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