Allen, Henry Todd

Allen, Henry Todd is an sole proprietor health care provider with primary practice located at 22690 Washington Street , Leonardtown MD 20650. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Henry Todd can be contacted via phone (301) 997-1200.

Contact Information

Primary practice address
22690 Washington Street Leonardtown MD 20650
Phone: (301) 997-1200
Fax: (301) 997-1240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10575 Maryland
Dental Providers / General Practice 1223G0001X 0401008109 Virginia

Profile Details

NPI number 1174786362
LBN Legal business name Allen, Henry Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2008
Last updated Jul 8th, 2008 - about 17 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 1174786362 NPPES
Other DG20T0 BLUE SHIELD OF MD
Other 602994 BLUE SHIELD OF MD

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