Terry Scott Allen
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Jonesboro, AR
NPI 1679748958 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1679748958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 3047 (AR)
- Practice address
- 911 Osler Dr Ste D
Jonesboro, AR 72401-4320 - Phone
- (870) 935-6516
- Fax
- (870) 935-0818
- NPI assigned
- Apr 28, 2008
- 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 |
|---|---|---|---|
| 3047 | AR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 3147 | AR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3147 | AR | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3047 | AR | Yes |
Addresses
Primary practice location
911 Osler Dr Ste D
Jonesboro, AR 72401-4320
Mailing address
911 Osler Dr Ste D
Jonesboro, AR 72401-4320
Phone (870) 935-6516
Other providers in Jonesboro, AR
- Lullavee Allen
- Marchell Allen
- Robert B Allen
- Samuel Luke Allen
- Stacy Allen
- Michael A Allensworth
- Allergy Clinic,P.a.
- John William Allgood Jr.
- Jennifer Allison
- Shatorri Allison
All providers in Jonesboro, AR · Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2008. 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.