Organization
R. CRAIG ALLEN, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CRAIG ALLEN D.M.D. (PRESIDENT)
(270) 885-4156
Entity
Organization
Contact information
Practice address
520 NOEL AVENUE, HOPKINSVILLE, KY 42240
(270) 885-4156
(270) 885-4031
Mailing address
520 NOEL AVENUE, HOPKINSVILLE, KY 42240
(270) 885-4156
(270) 885-4031
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4198
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900494
—
KY
Enumeration date
05/03/2007
Last updated
08/22/2020
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