Organization Active NPI

Jerry Allen DDS PA

  • Dental Clinic/Center
  • Durham, NC
National Provider Identifier
1093651978
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JERRY ALLEN DDS PA
Practice address
245 E NC Highway 54 Ste 204
Durham, NC 27713-2552
Phone
(919) 221-5644
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Dr. Jerry Arthur Allen III, DDSNPI 1104277326
Title
Owner Dentist
Phone
(919) 221-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

245 E NC Highway 54 Ste 204
Durham, NC 27713-2552

Mailing address

4413 Valley Forge Rd
Durham, NC 27705-6425
Phone (919) 221-5644

National Provider Directory

National Provider Directory

Locations

245 E NC Highway 54
Ste 204
Durham, NC 27713
Phone (919) 221-5644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1093651978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 VALLEY FORGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056425",
            "telephone_number": "919-221-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E NC HIGHWAY 54 STE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132552",
            "telephone_number": "919-221-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY ALLEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "919-221-5644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.