# ALLEN AND HANSEN DENTISTRY PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shepherd Mall Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013416940
- **Authorized official:** DR. MARK JAY ALLEN DDS (PARTNEER)
- **Authorized official phone:** (405) 844-6100

## Contact information

- **Practice address:** 2401 NW 23RD ST, OKLAHOMA CITY, OK 73107-2442
- **Practice address phone:** (405) 942-0337
- **Mailing address:** 519 S SANTA FE AVE, EDMOND, OK 73003-6281
- **Mailing address phone:** (405) 844-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4333 | OK | Yes |

## Other

- **Enumeration date:** 02/06/2018
- **Last updated:** 06/16/2018