Organization
TOWNE DENTISTRY - TODD ALLEN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY TODD ALLEN DDS (PRESIDENT)
(301) 997-1200
Entity
Organization
Contact information
Practice address
22690 WASHINGTON ST, LEONARDTOWN, MD 20650
(301) 997-1200
(301) 997-1240
Mailing address
PO BOX 1510, 22690 WASHINGTON ST, LEONARDTOWN, MD 20650
(301) 997-1200
(301) 997-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401008109
VA
1223G0001X
General Practice Dentistry
Primary
10575
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602994
UNITED CONCORDIA
—
01
—
DG20T0
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/16/2006
Last updated
08/22/2020
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