Individual
DANIEL JOSEPH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 E 56TH ST STE I, BROWNSBURG, IN 46112-7777
(317) 852-8113
(317) 852-8115
Mailing address
680 E 56TH ST STE I, BROWNSBURG, IN 46112-7777
(317) 852-8113
(317) 852-8115
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12013307A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300036174
—
IN
Enumeration date
04/04/2019
Last updated
02/12/2023
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