Provider Demographics
NPI:1922200369
Name:JANET ALLWOOD, DDS, PC
Entity Type:Organization
Organization Name:JANET ALLWOOD, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-453-1342
Mailing Address - Street 1:12 WOLF RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2603
Mailing Address - Country:US
Mailing Address - Phone:518-453-1342
Mailing Address - Fax:518-437-1100
Practice Address - Street 1:12 WOLF RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2603
Practice Address - Country:US
Practice Address - Phone:518-453-1342
Practice Address - Fax:518-437-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0474781223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty