Individual provider Active NPI

Jeffrey Marcus Allen, DMD

  • General Practice Dentistry
  • Ocean Springs, MS
National Provider Identifier
1518201714
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3676-12 Issued in MS
Practice address
6213 Washington Ave
Ocean Springs, MS 39564-2664
Phone
(866) 924-3649
NPI assigned
Nov 12, 2012
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3676-12 MS Primary

Addresses

Primary practice location

6213 Washington Ave
Ocean Springs, MS 39564-2664

Mailing address

6213 Washington Ave
Ocean Springs, MS 39564-2664
Phone (228) 215-0801

Other identifiers 1

IdentifierTypeStateIssuer
08822205MedicaidMS

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3676-12MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Dentures & Implants General Practice CurrentSince Aug 10, 2025 Accepting new patients
Dentures & Implants - Ocean Springs, LLC General Practice CurrentSince Aug 10, 2025 Accepting new patients

Locations

6213 Washington Ave
Ocean Springs, MS 39564
Phone (228) 215-0801

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1518201714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 WASHINGTON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642664",
            "telephone_number": "228-215-0801",
            "fax_number": "228-367-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 WASHINGTON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642664",
            "telephone_number": "866-924-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEFFREY",
        "middle_name": "MARCUS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3676-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08822205",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.