NPI Search for Physicians and Health Care Providers
DR. ROOSEVELT ALLEN DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1619947868
Individual Registrant:
DR. ROOSEVELT ALLEN DDS
Gender: M
Location and contact information for practice:
4175 S ALAMO AVE DAVIS MONTHAN A F B, AZ 85707-6097 US
Tel: 520-228-2654 Fax: --
Contact information for business:
13857 E CANYON FAIRWAY TRL VAIL, AZ 85641-6464 US
Tel: 757-876-3082 Fax: --
Registration Information:
NPI: 1619947868
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
X | 122300000X | Dental Providers Dentist
| AL | LNO 4138 |
X | 1223G0001X | Dental Providers Dentist | DE | |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS AZ - Page 1