# ALLEN PORTLAND DENTISTRY ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376942466
- **Authorized official:** DR. CHARLES M. ALLEN JR. DDS, MS (OWNER)
- **Authorized official phone:** (361) 854-7999

## Contact information

- **Practice address:** 101 COX DR., PORTLAND, TX 78374
- **Practice address phone:** (361) 643-0416
- **Practice address fax:** (361) 643-3972
- **Mailing address:** 101 COX DR., PORTLAND, TX 78374
- **Mailing address phone:** (361) 643-0416
- **Mailing address fax:** (361) 643-3972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0700X | Prosthodontics | — | — | — |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014