MEDICARE: ALLES & ASSOCIATES NORTH CAROLINA

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	122300000X	Dentist

General Provider Information

NPI Number	:	1205595998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLES & ASSOCIATES NORTH CAROLINA

Provider Business Mailing Address
First Line	:	PO BOX 840925
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0925
Country	:	US
Telephone Number	:	972-361-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 RALEIGH ROAD PKWY W STE 10C
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27896-8222
Country	:	US
Telephone Number	:	252-653-4099
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RODNEY ALLES
Credential	:	DDS
Telephone Number	:	972-331-8079

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	05/24/2023

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