Allen, Joseph Benton

Allen, Joseph Benton is an sole proprietor health care provider with primary practice located at 1336 Glenwood Ave Se , Atlanta GA 30316-2048. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Joseph Benton can be contacted via phone (404) 688-0013.

Contact Information

Primary practice address
1336 Glenwood Ave Se Atlanta GA 30316-2048
Fax: (404) 688-0010
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9493 Georgia

Profile Details

NPI number 1164596698
LBN Legal business name Allen, Joseph Benton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 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 1164596698 NPPES
Georgia MEDICAID 9182221

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