Allen, Chad R

Allen, Chad R is an sole proprietor health care provider with primary practice located at 190 S White Chapel Blvd , Southlake TX 76092. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Endodontics is his primary health care specialty. Allen, Chad R can be contacted via phone (817) 488-3636.

Contact Information

Primary practice address
190 S White Chapel Blvd Southlake TX 76092
Phone: (817) 488-3636
Fax: (817) 421-2372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 33444 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas

Profile Details

NPI number 1154777316
LBN Legal business name Allen, Chad R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2016
Last updated Sep 14th, 2018 - about 6 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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