MEDICARE: SARAH E ALLEN DDS

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	0401412532	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	095568	OTHER	VA	ANTHEM BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1245468156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E ALLEN DDS

Provider Business Mailing Address
First Line	:	1542 E BAYVIEW BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-3255
Country	:	US
Telephone Number	:	757-583-1212
Fax Number	:	757-583-4722

Provider Business Practice Location Address
First Line	:	6399 RICHMOND RD STE 101
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-1729
Country	:	US
Telephone Number	:	757-244-9320
Fax Number	:

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

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	04/06/2026

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Directions to “ SARAH E ALLEN DDS” Practice Location

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