Provider Demographics
NPI:1235547688
Name:TOMLIN, ALLISON ELAINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ELAINE
Last Name:TOMLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ELAINE
Other - Last Name:FINDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1635 VILLAGE CENTER CIR STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-0574
Mailing Address - Country:US
Mailing Address - Phone:702-423-3343
Mailing Address - Fax:
Practice Address - Street 1:4380 BLUE DIAMOND RD STE 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7786
Practice Address - Country:US
Practice Address - Phone:702-425-4424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6537122300000X
NVS3-3051223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist