Allen, Carl Michael

Allen, Carl Michael is an individual health care provider with primary practice located at 477 Cooper Rd Ste 480 , Westerville OH 43081-8095. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Allen, Carl Michael can be contacted via phone (614) 823-7135.

Contact Information

Primary practice address
477 Cooper Rd Ste 480 Westerville OH 43081-8095
Fax: (614) 823-7137
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.014914 Ohio
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 30-014914 Ohio

Profile Details

NPI number 1811079668
LBN Legal business name Allen, Carl Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 29th, 2023 - about last year

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 1811079668 NPPES
Ohio MEDICAID 0001739

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