Charles D. Allen, Jr., DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3762 Issued in NC

Legal business name

CHARLES D. ALLEN, JR., DDS, PA

Practice address

508 McKay St
Elizabethtown, NC 28337-0235

Phone

(910) 862-4334

Fax

(910) 862-3813

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Davis Allen Jr., DDSNPI 1144370958

Title

Dentist

Phone

(910) 862-4334

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Davis Allen Jr., DDS

  • General Practice Dentistry
  • Elizabethtown, NC
  • NPI 1144370958
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1912189382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "address_2": "508 MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370235",
            "telephone_number": "910-862-4334",
            "fax_number": "910-862-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370235",
            "telephone_number": "910-862-4334",
            "fax_number": "910-862-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. ALLEN, JR., DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-862-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.