Provider Demographics
NPI:1477978872
Name:ALLEMAN, ZACH (DDS)
Entity Type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:ALLEMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 HOTCHKISS DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3469
Mailing Address - Country:US
Mailing Address - Phone:972-978-4670
Mailing Address - Fax:
Practice Address - Street 1:4609 S TIMBERLINE RD
Practice Address - Street 2:SUITE 103B
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3170
Practice Address - Country:US
Practice Address - Phone:970-484-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-22
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002028721223P0221X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes1223P0221XDental ProvidersDentistPediatric Dentistry