Provider Demographics
NPI:1750819397
Name:ENGLE, ALLYSON PAIGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:PAIGE
Last Name:ENGLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:PAIGE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2842 HANNA PL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1496
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7668 MALL RD UNIT B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1593
Practice Address - Country:US
Practice Address - Phone:859-488-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY99291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice