Provider Demographics
NPI:1417399734
Name:ALLRED, MEGAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:ALLRED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:WHITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:131 MAPLE ROW BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3880
Mailing Address - Country:US
Mailing Address - Phone:615-905-1763
Mailing Address - Fax:
Practice Address - Street 1:131 MAPLE ROW BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3880
Practice Address - Country:US
Practice Address - Phone:615-905-1763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-28
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9958122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist