Sheila Allen
Individual provider Active NPI Dental Hygienist · Ashburn, GA
NPI 1679055271 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1679055271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH012280 (GA)
- Practice address
- 705 Hudson Ave
Ashburn, GA 31714-5312 - Phone
- (229) 567-2461
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| DH012280 | GA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH012280 | GA | Yes |
Addresses
Primary practice location
705 Hudson Ave
Ashburn, GA 31714-5312
Mailing address
16935 Adel Hwy
Barney, GA 31625-2126
Phone (229) 200-8888
Other providers in Ashburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2018. 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.