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DR. ROGER D ALLEN D.M.D.

Prosthodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1225003171

Individual Registrant:
DR. ROGER D ALLEN D.M.D.
Gender: M

Location and contact information for practice:
405 S 5TH ST  GADSDEN, AL 35901-5101 US
Tel: 256-546-1341  Fax: 256-546-1343

Contact information for business:
405 S 5TH ST  GADSDEN, AL 35901-5101 US
Tel: 256-546-1341  Fax: 256-546-1343

Registration Information:
NPI: 1225003171
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0700XDental Providers
Dentist
Prosthodontics
AL4756

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS PROVIDER21930AL01




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