Individual
DR. JOHN MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1111 AMSTERDAM AVE, ST LUKES DIVISION OF ORAL & MAXILLOFACIAL SURGERY, NEW YORK, NY 10025
(212) 523-3171
(212) 523-2447
Mailing address
200 W 60TH ST #16A, NEW YORK, NY 10023-8506
(917) 608-0868
(212) 523-2447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
052730
NY
122300000X
Dentist
46235
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DNF000323
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
052730
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
46235
CA
Other
Enumeration date
05/12/2006
Last updated
09/11/2025
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