# DR. DAWN RITA ALLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487780524
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6590 | KY | Yes |

## Other

- **Enumeration date:** 02/25/2007
- **Last updated:** 04/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11959148 | CAQH | KY |
| 05 | — | 60065901 | — | KY |
