Provider Demographics
NPI:1710374350
Name:DILLNER, ALLISON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:DILLNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:HENSLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:264 NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2529
Mailing Address - Country:US
Mailing Address - Phone:724-285-4153
Mailing Address - Fax:
Practice Address - Street 1:1022 N MAIN STREET EXT
Practice Address - Street 2:SUITE 203
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1956
Practice Address - Country:US
Practice Address - Phone:724-256-4612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0404081223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes1223G0001XDental ProvidersDentistGeneral Practice