Individual
DR. ROGER D ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
405 S 5TH ST, GADSDEN, AL 35901-5101
(256) 546-1341
(256) 546-1343
Mailing address
405 S 5TH ST, GADSDEN, AL 35901-5101
(256) 546-1341
(256) 546-1343
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4756
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21930
BLUE CROSS PROVIDER
AL
Enumeration date
02/22/2006
Last updated
07/08/2007
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