MEDICARE: DR. DENISE BASS 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	1223P0221X	Pediatric Dentistry	30559	CA

General Provider Information

NPI Number	:	1275531816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE BASS ALLEN DDS

Provider Business Mailing Address
First Line	:	2100 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2310
Country	:	US
Telephone Number	:	510-763-2022
Fax Number	:	510-251-2624

Provider Business Practice Location Address
First Line	:	2100 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2310
Country	:	US
Telephone Number	:	510-763-2022
Fax Number	:	510-251-2624

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1609917236 — MARSHA VAUGHN LCSW
Practice Location Address:

2116 BROADWAY
OAKLAND, CA
94612-2310

Practice Phone: 510-899-4106
Practice Fax:

1649481060 — BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Practice Location Address:

2116 BROADWAY
OAKLAND, CA
94612-2310

Practice Phone: 510-899-4100
Practice Fax: 510-350-3322

1407048606 — MR. MICHAEL DURWARD KING
Practice Location Address:

2118 BROADWAY
OAKLAND, CA
94612-2310

Practice Phone: 510-750-4577
Practice Fax: 510-451-3110

1164614269 — MS. BIANCA HENRY
Practice Location Address:

2118 BROADWAY
OAKLAND, CA
94612-2310

Practice Phone: 510-755-5597
Practice Fax:

1427370907 — GEORGE PROPER
Practice Location Address:

2116 BROADWAY
OAKLAND, CA
94612-2310

Practice Phone: 510-271-8844
Practice Fax:

1083936553 — IRENE STEWART
Practice Location Address:

2116 BROADWAY
OAKLAND, CA
94612-2310

Practice Phone: 510-271-8844
Practice Fax:

Directions to “ DR. DENISE BASS ALLEN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.