Allen Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALLEN DENTAL, PLLC

Doing business as

Allen Dental,PLLC

Practice address

15 1St St NE Ste 207151
Choteau, MT 59422-9275

Phone

(406) 466-5662

Fax

(406) 466-5861

NPI assigned

Jun 1, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha A Cooper

Title

Financial Coordinator

Phone

(907) 947-7193

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allen Dental,PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lucas McCann Allen, D.M.D.

  • Dentist
  • Choteau, MT
  • NPI 1518307339
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1003430570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 1ST ST NE STE 207151",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229275",
            "telephone_number": "406-466-5662",
            "fax_number": "406-466-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 1ST ST NE STE 207151",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229275",
            "telephone_number": "406-466-5662",
            "fax_number": "406-466-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "907-947-7193"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516171750",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Dental,PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allen Dental,PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucas McCann Allen, D.M.D.
• Raymond Robert Antonsen, MS, LAC
• Benefis Community Hospitals, Inc. (Benefis Teton Medical Center)
• Judy E Borland, M.D.
• Christina Louise Borst, DNP PMHNP, APRN

• Dentist in Choteau, MT
• Providers in Choteau, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.