Allen, John Wilton
Allen, John Wilton is an individual health care provider with primary practice located at 460 S Main St , Davidson NC 28036-8006. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, John Wilton can be contacted via phone (704) 892-0655.Contact Information
Primary practice address
460 S Main St
Davidson NC 28036-8006
Phone: (704) 892-0655
Fax: (704) 892-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6790 | North Carolina |
Profile Details
| NPI number | 1427254200 |
|---|---|
| LBN Legal business name | Allen, John Wilton |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427254200 | NPPES |
| North Carolina | MEDICAID | 799005Y |
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