# CHARLES D. ALLEN, JR., DDS, PA

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

## Provider details

- **NPI number:** 1912189382
- **Authorized official:** DR. CHARLES DAVIS ALLEN JR. DDS (DENTIST)
- **Authorized official phone:** (910) 862-4334

## Contact information

- **Practice address:** 508 MCKAY ST, ELIZABETHTOWN, NC 28337-0235
- **Practice address phone:** (910) 862-4334
- **Practice address fax:** (910) 862-3813
- **Mailing address:** PO BOX 235, 508 MCKAY ST, ELIZABETHTOWN, NC 28337-0235
- **Mailing address phone:** (910) 862-4334
- **Mailing address fax:** (910) 862-3813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3762 | NC | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/28/2007