Kendall Payne Allen, D.D.S.

Individual provider Active NPI General Practice Dentistry · Memphis, TN

NPI 1750834792 · NPPES record last updated Jul 26, 2016

Key facts

NPI
1750834792
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
10262 (TN)
Practice address
875 Union Ave
Memphis, TN 38103-3513
Phone
(901) 448-6271
NPI assigned
Jul 26, 2016
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10262 TN Yes

Addresses

Primary practice location

875 Union Ave
Memphis, TN 38103-3513

Mailing address

875 Union Ave
Suite C401
Memphis, TN 38103-3513
Phone (901) 448-6271

Other providers in Memphis, TN

All providers in Memphis, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.