Individual
DR. CARL MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
477 COOPER RD STE 480, WESTERVILLE, OH 43081-8095
(614) 823-7135
(614) 823-7137
Mailing address
1810 MACKENZIE DR FL 2, COLUMBUS, OH 43220-2967
(614) 273-2250
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.014914
OH
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
30-014914
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001739
—
OH
Enumeration date
10/20/2006
Last updated
06/29/2023
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