Provider Demographics
NPI:1780833277
Name:ROBERT D ALLEN DDS
Entity Type:Organization
Organization Name:ROBERT D ALLEN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDSD
Authorized Official - Phone:206-362-6677
Mailing Address - Street 1:11304 8TH AVE NE
Mailing Address - Street 2:B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6111
Mailing Address - Country:US
Mailing Address - Phone:206-362-6677
Mailing Address - Fax:206-362-2586
Practice Address - Street 1:11304 8TH AVE NE
Practice Address - Street 2:B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6111
Practice Address - Country:US
Practice Address - Phone:206-362-6677
Practice Address - Fax:206-362-2586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty