Diane E Allen in Shasta Lake - General Practice

Diane E Allen - NPI 1457337248

Diane E Allen is a General Practice in Shasta Lake, California. Diane E Allen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Diane E Allen is 1457337248. The last update date is 2007-07-08.

Diane E Allen's current location address is 4340 Shasta Dam Blvd, Shasta Lake, California. You can contact this provider via phone number 5302753077. The mailing address for Diane E Allen is 4340 Shasta Dam Blvd, Shasta Lake, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane E Allen
Address 4340 Shasta Dam Blvd, Shasta Lake, California
Phone Number 5302753077
Fax Number
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1457337248
Provider Enumeration Date 2005-12-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4340 Shasta Dam Blvd
City Shasta Lake
State California (CA)
Post Code 960199420
Phone Number 5302753077
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 26802
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
26802 CA LICENSE NUMBER

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FAQs about Diane E Allen

What is the unique identification code assigned to Diane E Allen by the Centers for Medicare & Medicaid Services?

The Diane E Allen has been issued the NPI (National Provider Identifier) 1457337248. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Diane E Allen's facilities are geographically located?

The facilities of Diane E Allen are physically situated at the following location: 4340 Shasta Dam Blvd, Shasta Lake, CA, 960199420.

What is Diane E Allen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Diane E Allen is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Diane E Allen receive the assignment of its 1457337248 from the Centers for Medicare & Medicaid Services?

The Diane E Allen was issued its 1457337248 by the Centers for Medicare & Medicaid Services on 2005-12-22.

When was the information related to Diane E Allen most recently updated or refreshed?

The details pertaining to the Diane E Allen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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