Allen, Charles Davis

Allen, Charles Davis is an sole proprietor health care provider with primary practice located at 508 Mckay St. , Elizabethtown NC 28337-0235. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Charles Davis can be contacted via phone (910) 862-4334.

Contact Information

Primary practice address
508 Mckay St. Elizabethtown NC 28337-0235
Phone: (910) 862-4334
Fax: (910) 862-3813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3762 North Carolina

Profile Details

NPI number 1144370958
LBN Legal business name Allen, Charles Davis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 18 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 1144370958 NPPES
North Carolina MEDICAID 8990169

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