Gary Lee Allred, DDS
Individual provider Active NPI General Practice Dentistry · Mount Vernon, MO
NPI 1992807127 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992807127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2006012626 (MO)
- Practice address
- 1050 W Hayward Dr
Mount Vernon, MO 65712-6329 - Phone
- (417) 466-7184
- Fax
- (417) 466-4081
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 2006012626 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Warren Hildreth, Jr DDS PC of Missouri | General Practice | Past | Accepting new patients |
| Mid - America Hearing Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2006012626 | MO | Yes |
Addresses
Primary practice location
1050 W Hayward Dr
Mount Vernon, MO 65712-6329
Mailing address
1050 W Hayward Dr
Mount Vernon, MO 65712-6329
Phone (417) 466-7184
Other providers in Mount Vernon, MO
- Troy Alan Adrian
- Thomas Alms Jr.
- Mary Elisabeth Aslin
- Auburn Pharmacy Inc
- Auburn Pharmacy Inc
- Meghan Austin
All providers in Mount Vernon, MO · General Practice Dentistry in Missouri
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.