Organization
ALLEN AND HANSEN DENTISTRY PARTNERSHIP
Active
Other names
Shepherd Mall Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAY ALLEN DDS (PARTNEER)
(405) 844-6100
Entity
Organization
Contact information
Practice address
2401 NW 23RD ST, OKLAHOMA CITY, OK 73107-2442
(405) 942-0337
Mailing address
519 S SANTA FE AVE, EDMOND, OK 73003-6281
(405) 844-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4333
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4333
DENTAL LICENSE
OK
Enumeration date
02/06/2018
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us