MEDICARE: SARAH PARKER ALLEN DDS, MS

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	1223P0700X	Prosthodontics	CERTIFICATE	TX
2	122300000X	Dentist	25388	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1932901410	OTHER	TX	OFFICE NPI NUMBER

General Provider Information

NPI Number	:	1710392519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PARKER ALLEN DDS, MS

Provider Business Mailing Address
First Line	:	15843 MILLER FARM RD
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-6234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 N WASHINGTON AVE STE 2400
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1736
Country	:	US
Telephone Number	:	214-550-1945
Fax Number	:	214-550-1954

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

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	05/15/2025

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