Organization
ALLEN DENTAL, PLLC
Active
Other names
Allen Dental,PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA A COOPER (FINANCIAL COORDINATOR)
(907) 947-7193
Entity
Organization
Contact information
Practice address
15 1ST ST NE STE 207151, CHOTEAU, MT 59422-9275
(406) 466-5662
(406) 466-5861
Mailing address
15 1ST ST NE STE 207151, CHOTEAU, MT 59422-9275
(406) 466-5662
(406) 466-5861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516171750
—
MT
Enumeration date
06/01/2020
Last updated
06/16/2020
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