Allen, Brandice

Allen, Brandice is an sole proprietor health care provider with primary practice located at 2090 Dunwoody Club Dr Suite 105, Sandy Springs GA 30350-5434. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Allen, Brandice can be contacted via phone (314) 276-2984.

Contact Information

Primary practice address
2090 Dunwoody Club Dr Suite 105 Sandy Springs GA 30350-5434
Phone: (314) 276-2984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9551 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X DN 014898 Georgia

Profile Details

NPI number 1760739379
LBN Legal business name Allen, Brandice
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2012
Last updated Nov 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760739379 NPPES
Georgia Other DN014898 GEORGIA DENTAL LICENSE

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