Allen, Samuel Brooks

Allen, Samuel Brooks is an individual health care provider with primary practice located at 6800 Main St., Third Floor , Downers Grove IL 60516. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Allen, Samuel Brooks can be contacted via phone (630) 969-5350.

Contact Information

Primary practice address
6800 Main St., Third Floor Downers Grove IL 60516
Phone: (630) 969-5350
Fax: (630) 969-4692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 19030584 Illinois

Profile Details

NPI number 1033567359
LBN Legal business name Allen, Samuel Brooks
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated May 26th, 2016 - about 8 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 1033567359 NPPES
Illinois Other 19030584 LICENSE

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