Gregory A Allen
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Kansas City, MO
NPI 1245331024 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245331024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 13023 (MO)
- Practice address
- 1010 Carondelet Dr.
Suite 316
Kansas City, MO 64114 - Phone
- (816) 941-0000
- Fax
- (816) 941-3146
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7046 | KS | MD | Oral and Maxillofacial Surgery (Dentist) |
| 13023 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13023 | MO | Yes |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7046 | KS |
Addresses
Primary practice location
1010 Carondelet Dr.
Suite 316
Kansas City, MO 64114
Mailing address
15140 Pawnee Circle
Leawood, KS 66224
Phone (913) 851-2527
Other providers in Kansas City, MO
- Charles Allen
- Charles Henry Allen III
- Colleen T Allen
- Emma Allen
- Geoffrey L Allen
- Jennifer Nicole Allen
- John Allen
- Karen Renee Allen
- Keith Loren Allen
- Kendria Allen
All providers in Kansas City, MO · Oral and Maxillofacial Surgery (Dentist) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.