Individual
DR. ELI BERTRAM ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4041 PARNELL AVE, FORT WAYNE, IN 46805-1413
(260) 297-7511
Mailing address
1143 W RUDISILL BLVD, FORT WAYNE, IN 46807-2142
(260) 417-2563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014983A
IN
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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