# STEPHANIE ALLEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allen Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083199939
- **Authorized official:** STEPHANIE ALLEN DMD (OWNER)
- **Authorized official phone:** (502) 641-2823

## Contact information

- **Practice address:** 434 PATROL ROAD, SUITE 200, JEFFERSONVILLE, IN 47130
- **Practice address phone:** (502) 641-2823
- **Mailing address:** 434 PATROL ROAD, SUITE 200, JEFFERSONVILLE, IN 47130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2018
- **Last updated:** 09/26/2018