Provider Demographics
NPI:1518147545
Name:ALLEN T. WEBB, DMD
Entity Type:Organization
Organization Name:ALLEN T. WEBB, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:GASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-245-4335
Mailing Address - Street 1:39 PRESBYTERIAN ST
Mailing Address - Street 2:POB 523
Mailing Address - City:BAMBERG
Mailing Address - State:SC
Mailing Address - Zip Code:29003-1950
Mailing Address - Country:US
Mailing Address - Phone:803-245-4335
Mailing Address - Fax:
Practice Address - Street 1:39 PRESBYTERIAN ST
Practice Address - Street 2:POB 523
Practice Address - City:BAMBERG
Practice Address - State:SC
Practice Address - Zip Code:29003-1950
Practice Address - Country:US
Practice Address - Phone:803-245-4335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty