Active NPI
Jeffrey Marcus Allen, DMD
- General Practice Dentistry
- Ocean Springs, MS
National Provider Identifier
1518201714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3676-12
- Practice address
- 6213 Washington Ave
Ocean Springs, MS 39564-2664 - Phone
- (866) 924-3649
- NPI assigned
- Nov 12, 2012
- Last updated
- Aug 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08822205 | Medicaid | MS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3676-12 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Dentures & Implants | General Practice | Current | Accepting new patients |
| Dentures & Implants - Ocean Springs, LLC | General Practice | Current | 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.
-
- General Practice Dentistry
- Ocean Springs, MS
- NPI 1740995430
-
dba Coastal Dentures & Implants
- General Practice Dentistry
- Ocean Springs, MS
- NPI 1780423905
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.