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DR. JOHN ALLEN D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1891871273
Individual Registrant:DR. JOHN ALLEN D.M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
464 MONTAUK AVE NEW LONDON, CT 06320-4606 US
Tel: 860-443-3634 Fax: 860-444-7861
Tel: 860-443-3634 Fax: 860-444-7861
Contact information for business:
464 MONTAUK AVE NEW LONDON, CT 06320-4606 US
Tel: 860-443-3634 Fax: 860-444-7861
Tel: 860-443-3634 Fax: 860-444-7861
Registration Information:
NPI: 1891871273
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CT | 6108 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
