Tammy Allen

Individual provider Active NPI Dental Assistant · Ft. Benning, GA

NPI 1770932162 · NPPES record last updated Jun 7, 2016

Key facts

NPI
1770932162
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
Practice address
701 Hoff Rd Building 9240
Ft. Benning, GA 31909
Phone
(706) 544-2051
NPI assigned
Jun 7, 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
Dental Assistant 126800000X GA Yes

Addresses

Primary practice location

701 Hoff Rd Building 9240
Ft. Benning, GA 31909

Mailing address

701 Hoff Rd
Ft. Benning, GA 31909
Phone (706) 544-2051

Other providers in Ft. Benning, GA

All providers in Ft. Benning, GA · Dental Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.