| Allen Endodontics, Llc | |
| 
					6605 N 19th Ave Suite B Phoenix AZ 85015-1628  | |
| (602) 242-4745 | |
| (602) 246-4748 | 
| Full Name | Allen Endodontics, Llc | 
|---|---|
| Speciality | Dentist - Endodontics | 
| Location | 6605 N 19th Ave, Phoenix, Arizona | 
| Authorized Official Name and Position | Jacqueline Savannah Allen (MANAGING MEMBER) | 
| Authorized Official Contact | 6022424745 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Allen Endodontics, Llc 6605 N 19th Ave Suite B Phoenix AZ 85015-1628 Ph: (602) 242-4745  | Allen Endodontics, Llc 6605 N 19th Ave Suite B Phoenix AZ 85015-1628 Ph: (602) 242-4745  | 
| NPI Number | 1013038264 | 
|---|---|
| Provider Enumeration Date | 04/03/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013038264 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4952 (Arizona) | Primary | 
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