Allred Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ALLRED DENTAL CORPORATION

Practice address

955 Boardwalk Ste 201
San Marcos, CA 92078-2659

Phone

(760) 304-6455

Fax

(760) 290-3608

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Glen Allred, DDS

Title

Owner

Phone

(760) 304-6455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Glen Allred, D.D.S.

  • Dentist
  • San Marcos, CA
  • NPI 1194964411
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1982351771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BOARDWALK STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782659",
            "telephone_number": "760-304-6455",
            "fax_number": "760-290-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BOARDWALK STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782659",
            "telephone_number": "760-304-6455",
            "fax_number": "760-290-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLRED DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-304-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alita
• Pouyan Allahyari
• Brittany Allen-Robertson
• Simone Valencia Allen
• Stacey Lynn Allen, MT
• Jeffrey Glen Allred, D.D.S.
• Joshua Almadin
• Alpha Physical Therapy and Performance, Inc
• Alta Vista Public Charter Inc.
• Leon Altamirano, PSY.D.

• Oral and Maxillofacial Surgery Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.