DR. MARK S ALLEN D.M.D. NPI 1134283765

NPI Information

NPI: 1134283765
Provider Name: DR. MARK S ALLEN, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1716 ASHLEY CIR
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 842-0166
Get Directions

DR. Mark S Allen, D.M.D. is an oral and maxillofacial surgery dentist in Bowling Green, KY. The provider is the specialty of dentistry which includes 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. Mark S Allen, D.M.D. NPI is 1134283765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1716 ASHLEY CIR
BOWLING GREEN, KY
ZIP 42104-366
Phone: (270) 842-0166
Fax: (270) 781-1055

The enumeration date for this NPI number is 12/20/2006 and was last updated on 5/14/2008.

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	204E00000X	Oral & Maxillofacial Surgery		4550	KENTUCKY	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	4550 341	KENTUCKY	Yes

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
1	60045507	MEDICAID	KENTUCKY
2	64045503	MEDICAID	KENTUCKY
3	T54071	MEDICARE UPIN	KENTUCKY
4	1345801	MEDICARE PIN	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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