Suzanne D Allman, D.D.S

Individual provider Active NPI Pediatric Dentistry · Rockwall, TX

NPI 1164536793 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164536793
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
16237 (TX)
Practice address
990 W Ralph Hall Pkwy Ste 100
Rockwall, TX 75032-6660
Phone
(972) 771-9933
Fax
(972) 772-4086
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16237TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin P. Morgan, DDS, Ms, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 16237 TX Yes

Addresses

Primary practice location

990 W Ralph Hall Pkwy Ste 100
Rockwall, TX 75032-6660

Mailing address

990 W. Ralph Hall Pkwy Ste 100
Rockwall, TX 75032-6660
Phone (972) 771-9933

Other providers in Rockwall, TX

All providers in Rockwall, TX · Pediatric Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.