Provider Demographics
NPI:1750413076
Name:ALLEN, HARRY CRAIG (DDS)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:CRAIG
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:CRAIG
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:15218 WEST RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1916
Mailing Address - Country:US
Mailing Address - Phone:281-550-7276
Mailing Address - Fax:281-550-7295
Practice Address - Street 1:15218 WEST RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1916
Practice Address - Country:US
Practice Address - Phone:281-550-7276
Practice Address - Fax:281-550-7295
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice