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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1578656377 NPPES
Texas MEDICAID 1734675-11

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