Individual provider Active NPI

Allen Dale Daniels, D.D.S.

  • Dentist
  • Walton, KY
National Provider Identifier
1942335401
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022681 Issued in OH
Practice address
450 Richwood Rd Ste 305
Walton, KY 41094-7440
Phone
(859) 419-0768
NPI assigned
Feb 23, 2007
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-00231 KY
Dentist 122300000X 30022681 OH Primary
General Practice Dentistry 1223G0001X DS2677 TN

Addresses

Primary practice location

450 Richwood Rd Ste 305
Walton, KY 41094-7440

Mailing address

24173 State Line Rd
Lawrenceburg, IN 47025
Phone (812) 656-8888

Other practice location 1

24173 State Line Rd
Lawrenceburg, IN 47025
Phone (812) 656-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30022681OHMDDentist
DS2677TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Dental LLC CurrentSince Aug 30, 2020 Accepting new patients
Dental Health Professionals of Kentucky, P.S.C. Dentist PastSince Jun 29, 2025 Accepting new patients
Columbia Pike Family Dentistry General Practice Past Accepting new patients
West Chester Dental Group General Practice Past Accepting new patients

Locations

24173 Stateline Rd
Lawrenceburg, IN 47025
Phone (812) 656-8888

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1942335401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24173 STATE LINE RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "47025",
            "telephone_number": "812-656-8888",
            "fax_number": "812-656-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 RICHWOOD RD STE 305",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947440",
            "telephone_number": "859-419-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24173 State Line Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "47025",
            "country_code": "US",
            "telephone_number": "812-656-8888",
            "fax_number": "812-656-8016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ALLEN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "D-00231",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022681",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.