Individual
ALLEN N SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
216 W 21ST AVE, COVINGTON, LA 70433-3152
(706) 461-1579
Mailing address
216 W 21ST AVE, COVINGTON, LA 70433-3152
(706) 461-1579
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6171
LA
1223G0001X
General Practice Dentistry
DN013096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480780729A
—
GA
Enumeration date
08/13/2006
Last updated
03/20/2012
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