Allen Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4952 Issued in AZ

Legal business name

ALLEN ENDODONTICS, LLC

Practice address

6605 N 19TH Ave
Suite B
Phoenix, AZ 85015-1628

Phone

(602) 242-4745

Fax

(602) 246-4748

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Savannah Allen, D.D.S., M.S.

Title

Managing Member

Phone

(602) 242-4745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013038264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 N 19TH AVE",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151628",
            "telephone_number": "602-242-4745",
            "fax_number": "602-246-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N 19TH AVE",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151628",
            "telephone_number": "602-242-4745",
            "fax_number": "602-246-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "SAVANNAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-242-4745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Howard Allbritton, CRNA/MS
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• Allegiant Home Care LLC
• Allegiant Therapy LLC.
• Arlety Allegues
• Allen Peyghambarian D.D.S.,PLLC
• Ryan William Allen-Brady, FNP
• Alexis Ann Allen
• Allison Allen, COTA/L
• Amanda Jane Allen, RN

• All providers in Phoenix, AZ
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.