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Organization
SHORELINE ENDODONTICS, P.C.
Active
Organization
SHORELINE ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M ALLEN DDS, MS (PRACTICE OWNER)
(231) 947-6000
Entity
Organization
Contact information
Practice address
1087 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8372
(231) 947-6000
(231) 947-6593
Mailing address
1087 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8372
(231) 947-6000
(231) 947-6593
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215190970
NPI TYPE 1 DR. ALLEN
MI
01
—
1386743219
NPI TYPE 1 DR. HAAG
MI
01
—
1972094639
NPI TYPE 1 DR. BARRORD
MI
Enumeration date
12/21/2020
Last updated
12/21/2020
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