Brian Keith Allen, D.M.D.
Individual provider Active NPI Pediatric Dentistry · Lawrenceville, NJ
NPI 1497863989 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497863989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DI 19102 (NJ)
- Practice address
- 3131 Princeton Pike
Building 6, Suite 108
Lawrenceville, NJ 08648-2201 - Phone
- (609) 896-2006
- Fax
- (609) 896-3889
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 19102 | NJ | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DI 19102 | NJ | Yes |
Addresses
Primary practice location
3131 Princeton Pike
Building 6, Suite 108
Lawrenceville, NJ 08648-2201
Mailing address
3131 Princeton Pike
Building 6, Suite 108
Lawrenceville, NJ 08648-2201
Phone (609) 896-2006
Other providers in Lawrenceville, NJ
- Alfred B. Amendolara MD, PC
- Gehad Mohamed Ali
- Allegiance Health Group LLC
- Allegiance Mso LLC
- Anne Z. Allen
- Jeffrey B Allen
- Allied Vision Services, PA
- Allies, Inc
- Paloma Amar Coleman
- American Current Care of New Jersey, P.a.
All providers in Lawrenceville, NJ · Pediatric Dentistry in New Jersey
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.