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NPI Code Detail

MEDICARE: DR. CHARLES MCKEAN ALLEN DDS

MEDICARE: DR. CHARLES MCKEAN 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
11223G0001XGeneral Practice Dentistry9753TX

General Provider Information

NPI Number : 1740238880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES MCKEAN ALLEN DDS
Provider Business Mailing Address
First Line : 6200 SARATOGA BLVD
Second Line : BLDG 2 102
City : CORPUS CHRISTI
State : TX
Zip : 78414-3421
Country : US
Telephone Number : 361-992-8900
Fax Number : 361-992-0880
Provider Business Practice Location Address
First Line : 6200 SARATOGA BLVD
Second Line : BLDG 2 102
City : CORPUS CHRISTI
State : TX
Zip : 78414-3421
Country : US
Telephone Number : 361-992-8900
Fax Number : 361-992-0880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES MCKEAN ALLEN DDS” Practice Location

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