DR. WILLIAM R. ALLEN DMD NPI 1093945560

NPI Information

NPI: 1093945560
Provider Name: DR. WILLIAM R. ALLEN, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
225 ABRAHAM FLEXNER WAY
SUITE 302
LOUISVILLE, KY
ZIP 40202
Phone: (502) 587-7874
Get Directions

DR. William R. Allen, DMD is an oral and maxillofacial surgery dentist in Louisville, KY with 17 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. William R. Allen, DMD NPI is 1093945560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduation Year:2007

The provider's business location address is:

225 ABRAHAM FLEXNER WAY
SUITE 302
LOUISVILLE, KY
ZIP 40202-882
Phone: (502) 587-7874
Fax: (502) 587-0758

The NPI 1093945560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/19/2009 and was last updated on 6/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		8471	KENTUCKY	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	8471	KENTUCKY	Yes
3	204E00000X	Oral & Maxillofacial Surgery		8471	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K049530	MEDICARE PIN	KENTUCKY
2	000000770334	OTHER	KENTUCKY	ANTHEM
3	201098860	MEDICAID	INDIANA
4	7100210090	MEDICAID	KENTUCKY
5	7100210290	MEDICAID	KENTUCKY
6	P01500682	OTHER	KENTUCKY	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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