Active NPI
Jerry Allen DDS PA
- Dental Clinic/Center
- Durham, NC
National Provider Identifier
1093651978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Arthur Allen III, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Cary, NC
- NPI 1104277326
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.