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NPI Code Detail

MEDICARE: DR. LEONARD FRANKLIN ALLEN M.D., D.M.D.

MEDICARE: DR. LEONARD FRANKLIN ALLEN M.D., D.M.D.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DN015151GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DN015151OTHERGADENTIST LICENSE

General Provider Information

NPI Number : 1255314027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD FRANKLIN ALLEN M.D., D.M.D.
Provider Business Mailing Address
First Line : 2422 DOUBLE CHURCHES RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-2741
Country : US
Telephone Number : 706-596-1757
Fax Number : 706-596-1767
Provider Business Practice Location Address
First Line : 2422 DOUBLE CHURCHES RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-2741
Country : US
Telephone Number : 706-596-1757
Fax Number : 706-596-1767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 04/08/2020

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