Allen, Dandric
Allen, Dandric is an individual health care provider with primary practice located at 2580 W Camp Wisdom Rd Ste. 300, Grand Prairie TX 75052-3088. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Dandric can be contacted via phone (972) 522-0784.Contact Information
Primary practice address
2580 W Camp Wisdom Rd Ste. 300
Grand Prairie TX 75052-3088
Phone: (972) 522-0784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22250 | Texas |
Profile Details
| NPI number | 1578656377 |
|---|---|
| LBN Legal business name | Allen, Dandric |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578656377 | NPPES |
| Texas | MEDICAID | 1734675-11 |
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