Healthcare Provider Details

I. General information

NPI: 1780069419
Provider Name (Legal Business Name): ALLISON L BIEHLE D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2015
Last Update Date: 07/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 DOGWOOD DR
KOKOMO IN
46902-5738
US

IV. Provider business mailing address

2525 SOLANA WAY #108
INDIANAPOLIS IN
46240-6002
US

V. Phone/Fax

Practice location:
  • Phone: 765-457-4000
  • Fax: 765-457-4060
Mailing address:
  • Phone: 812-525-3705
  • Fax: 765-457-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12012387A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: