Provider Demographics
NPI:1649328345
Name:ALLWOOD, JANET (DDS)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:ALLWOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:518-437-0011
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:518-437-0011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0474781223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics