Provider Demographics
NPI:1710681143
Name:ALLEN, ROBYN JANEEN
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:JANEEN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARBON
Mailing Address - State:WV
Mailing Address - Zip Code:25139-0264
Mailing Address - Country:US
Mailing Address - Phone:304-545-8494
Mailing Address - Fax:
Practice Address - Street 1:149 GINA STREET
Practice Address - Street 2:
Practice Address - City:MOUNT CARBON
Practice Address - State:WV
Practice Address - Zip Code:25139-0264
Practice Address - Country:US
Practice Address - Phone:304-545-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist