Organization
JEREMY W. ALLEN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY W ALLEN DMD (DENTIST)
(606) 231-0594
Entity
Organization
Contact information
Practice address
908 W 5TH ST, SUITE 114, LONDON, KY 40741-2417
(606) 231-0594
Mailing address
908 W 5TH ST, SUITE 114, LONDON, KY 40741-2417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8365
KY
1223G0001X
General Practice Dentistry
Primary
8365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60004306
—
KY
Enumeration date
02/07/2011
Last updated
03/22/2011
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