Allen, Mark S

Allen, Mark S is an sole proprietor health care provider with primary practice located at 1716 Ashley Cir , Bowling Green KY 42104-3366. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Allen, Mark S can be contacted via phone (270) 842-0166.

Contact Information

Primary practice address
1716 Ashley Cir Bowling Green KY 42104-3366
Phone: (270) 842-0166
Fax: (270) 781-1055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4550 341 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4550 Kentucky

Profile Details

NPI number 1134283765
LBN Legal business name Allen, Mark S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated May 14th, 2008 - about 16 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 1134283765 NPPES
Kentucky MEDICAID 64045503
Kentucky MEDICAID 60045507

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