Allen, Heather

Allen, Heather is an individual health care provider with primary practice located at 1234 S. Hairston Road Suite 23, Stone Mountain GA 30088. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Allen, Heather can be contacted via phone (404) 294-3600.

Contact Information

Primary practice address
1234 S. Hairston Road Suite 23 Stone Mountain GA 30088
Phone: (404) 294-3600
Fax: (404) 294-9880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10982 Georgia

Profile Details

NPI number 1073608410
LBN Legal business name Allen, Heather
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 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 1073608410 NPPES
Georgia MEDICAID 00581215A

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