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Organization

MICHAEL T ALLEN DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENDA ALLEN SPOUSE (OFFICE MANAER)
(706) 975-6429
Entity
Organization

Contact information

Practice address
419 N CHURCH ST, THOMASTON, GA 30286-3611
(706) 647-7111
(706) 646-9692
Mailing address
419 N CHURCH ST, THOMASTON, GA 30286-3611
(706) 647-7111
(706) 646-9692

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/19/2026
Last updated
06/19/2026
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