Provider Demographics
NPI:1932364841
Name:HUTCHINS, ALLEN ROBERT (DDS)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:ROBERT
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 SPRING STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30144-2870
Mailing Address - Country:US
Mailing Address - Phone:404-389-1950
Mailing Address - Fax:678-444-4152
Practice Address - Street 1:16B FELTON PL
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2152
Practice Address - Country:US
Practice Address - Phone:770-382-3536
Practice Address - Fax:770-382-1915
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0088761223P0221X
OK40331223P0221X
SC31681223P0221X
TX00174221223P0221X
MI29010124391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry