Louise Allen
Individual provider Active NPI General Practice Dentistry · Cordova,, TN
NPI 1437243995 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437243995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS003782 (TN)
- Practice address
- 278 German Oak Dr.
Cordova,, TN 38018-7220 - Phone
- (901) 753-9696
- Fax
- (901) 753-0760
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160707000489 | TN | Order and Referring Only - Oral Surgery |
8426340738 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS003782 | TN | MD | General Practice Dentistry |
| 3782 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS003782 | TN | Yes |
Addresses
Primary practice location
278 German Oak Dr.
Cordova,, TN 38018-7220
Mailing address
521 Stonewall St
Memphis, TN 38112
Phone (901) 272-3582
Other names
- Miss Louise Rutkowski
Other providers in Cordova,, TN
- Ali Kaplan PHD, LLC
- Jane Kirk Alissandratos
- All Day Screening, LLC
- Janice C Allen
- Kadasha Allen
- Allycare LLC
- Stephen Craig Alsobrook
- Jamesa Yvette Alston
- Amazing Hearts Home Care
- American Family Dentistry of Memphis, PC
All providers in Cordova,, TN · General Practice Dentistry in Tennessee
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.