Allen, William R.

Allen, William R. is an sole proprietor health care provider with primary practice located at 225 Abraham Flexner Way Suite 302, Louisville KY 40202-1882. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Allen, William R. can be contacted via phone (502) 587-7874.

Contact Information

Primary practice address
225 Abraham Flexner Way Suite 302 Louisville KY 40202-1882
Phone: (502) 587-7874
Fax: (502) 587-0758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8471 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 8471 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8471 Kentucky

Profile Details

NPI number 1093945560
LBN Legal business name Allen, William R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2009
Last updated Jun 12th, 2017 - about 7 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 1093945560 NPPES
Kentucky Other 000000770334 ANTHEM
Kentucky MEDICAID 7100210290 ANTHEM
Kentucky MEDICAID 201098860 ANTHEM
Kentucky Other P01500682 ANTHEM
Kentucky MEDICAID 7100210090 ANTHEM

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