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NPI Code Detail

MEDICARE: MICHAEL ALLISON DDS

MEDICARE:   MICHAEL  ALLISON  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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1124961982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ALLISON DDS
Provider Business Mailing Address
First Line : 484 BEAR RD
Second Line :
City : BRANSON
State : MO
Zip : 65616-7469
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 UNIVERSITY BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-274-5315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MICHAEL ALLISON DDS” Practice Location

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