Individual
DORIS J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MPH
Contact information
Practice address
406 N ASHLEY ST, ANN ARBOR, MI 48103-3308
(734) 998-9640
(734) 998-9647
Mailing address
406 N ASHLEY ST, ANN ARBOR, MI 48103-3308
(734) 998-9640
(734) 998-9647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015212
MI
1223G0001X
General Practice Dentistry
2901015212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4124033
—
MI
01
—
D152120
BCBS OF MI DENTAL
MI
Enumeration date
03/15/2007
Last updated
09/11/2025
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