Provider Demographics
NPI:1578939062
Name:ZOEL G. ALLEN II, D.D.S. PLLC
Entity Type:Organization
Organization Name:ZOEL G. ALLEN II, D.D.S. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOEL
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-435-5335
Mailing Address - Street 1:19 SE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PERRYTON
Mailing Address - State:TX
Mailing Address - Zip Code:79070-3111
Mailing Address - Country:US
Mailing Address - Phone:806-435-5335
Mailing Address - Fax:806-435-2811
Practice Address - Street 1:19 SE 5TH AVE
Practice Address - Street 2:
Practice Address - City:PERRYTON
Practice Address - State:TX
Practice Address - Zip Code:79070-3111
Practice Address - Country:US
Practice Address - Phone:806-435-5335
Practice Address - Fax:806-435-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental