MEDICARE: DR. VALERIE ALLEN D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS0000009050	TN

General Provider Information

NPI Number	:	1013243625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE ALLEN D.D.S

Provider Business Mailing Address
First Line	:	7633 HIGHWAY 70 S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-1706
Country	:	US
Telephone Number	:	615-646-2655
Fax Number	:	615-646-2615

Provider Business Practice Location Address
First Line	:	7633 HIGHWAY 70 S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-1706
Country	:	US
Telephone Number	:	615-646-2655
Fax Number	:	615-646-2615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2009
Last Update Date	:	02/03/2017

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