Allen, Brandon Ira

Allen, Brandon Ira is an individual health care provider with primary practice located at 1508 Oxford Dr , Georgetown KY 40324-9266. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Allen, Brandon Ira can be contacted via phone (502) 863-0880.

Contact Information

Primary practice address
1508 Oxford Dr Georgetown KY 40324-9266
Phone: (502) 863-0880
Fax: (502) 867-7363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8056 Kentucky
Dental Providers / Dentist 122300000X 8056 Kentucky

Profile Details

NPI number 1245347897
LBN Legal business name Allen, Brandon Ira
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 26th, 2015 - 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 1245347897 NPPES
Kentucky MEDICAID 7100053320

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