Patti K. Allen, D.M.D. – General Practice Dentistry

Key facts

NPI: 1811032626
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 5537 (KY)
Practice address: 140 Main Cross Street
Hawesville, KY 42348-0248
Phone: (270) 927-6045
NPI assigned: Feb 20, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Allen & Allen Dental General Practice Dentistry · Hawesville, KY · NPI 1558636258

NPD (past) GENERAL PRACTICE

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
5537	KY	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Allen & Allen Dental	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	5537	KY	Yes

Addresses

Primary practice location

140 Main Cross Street
Hawesville, KY 42348-0248

Mailing address

PO Box 248
140 Main Street
Hawesville, KY 42348-0248
Phone (270) 927-6045

Other identifiers

Identifier	Type	State	Issuer
60055373	Medicaid	KY

Other providers in Hawesville, KY

All providers in Hawesville, KY · General Practice Dentistry in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.

Verify at the official NPI Registry.