# DR. THOMAS J ALLEN PC

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

## Provider details

- **NPI number:** 1912317504
- **Authorized official:** DR. THOMAS JAMES ALLEN DDS (CEO)
- **Authorized official phone:** (210) 224-6554

## Contact information

- **Practice address:** 730 N MAIN AVE, \#709, SAN ANTONIO, TX 78205-1152
- **Practice address phone:** (210) 224-6554
- **Mailing address:** 730 N MAIN AVE, \#709, SAN ANTONIO, TX 78205-1152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15550 | TX | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130632603 | — | TX |