Allen, Dawn Rita
Allen, Dawn Rita is an individual health care provider with primary practice located at 360 Keen St , Burkesville KY 42717-7915. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Allen, Dawn Rita can be contacted via phone (270) 864-1472.Contact Information
Primary practice address
360 Keen St
Burkesville KY 42717-7915
Phone: (270) 864-1472
Fax: (270) 864-1693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6590 | Kentucky |
Profile Details
| NPI number | 1487780524 |
|---|---|
| LBN Legal business name | Allen, Dawn Rita |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2007 |
| Last updated | Apr 8th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487780524 | NPPES |
| Kentucky | Other | 11959148 | CAQH |
| Kentucky | MEDICAID | 60065901 | CAQH |
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