Allen, Jeffery Marcus
Allen, Jeffery Marcus is an individual health care provider with primary practice located at 68 Old Airport Rd , Hattiesburg MS 39401-8382. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Jeffery Marcus can be contacted via phone (601) 583-4800.Contact Information
Primary practice address
68 Old Airport Rd
Hattiesburg MS 39401-8382
Phone: (601) 583-4800
Fax: (601) 584-7769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3676-12 | Mississippi |
Profile Details
| NPI number | 1518201714 |
|---|---|
| LBN Legal business name | Allen, Jeffery Marcus |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2012 |
| Last updated | Jun 20th, 2013 - 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 | 1518201714 | NPPES |
| Mississippi | MEDICAID | 08822205 |
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