Allen, Richard Earl
Allen, Richard Earl is an individual health care provider with primary practice located at 406 Longmire Road , Conroe TX 77304-2048. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Allen, Richard Earl can be contacted via phone (936) 756-7611.Contact Information
Primary practice address
406 Longmire Road
Conroe TX 77304-2048
Phone: (936) 756-7611
Fax: (936) 756-7632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9019 | Texas |
Profile Details
| NPI number | 1063557957 |
|---|---|
| LBN Legal business name | Allen, Richard Earl |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Mar 26th, 2012 - 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 | 1063557957 | NPPES |
| Texas | MEDICAID | 090856801 |
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