Individual
ALLEN A MC NEIL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
816 E MICHIGAN AVE, SUITE 102, PAW PAW, MI 49079-1462
(269) 657-4458
(269) 657-4482
Mailing address
816 E MICHIGAN AVE, SUITE 102, PAW PAW, MI 49079-1462
(269) 657-4458
(269) 657-4482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8000171-0
BCBS OF MICHIGAN ID
MI
Enumeration date
01/06/2006
Last updated
07/08/2007
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