Active NPIIndividual provider

Dr. Staci R Allen, DDS

Dentist, Pediatric Dentistry in Avon, Connecticut

NPI Number1982968848
Practice location
44 Dale RD Ste 305, Avon, CT 06001-4351
Fax
—
Last updated
April 12, 2017

Staci Robinson Allen is a Dentist, Pediatric Dentistry based in Avon, CT. Staci Robinson Allen practices in Avon, CT and has the professional credentials of DDS. The NPI Number for Staci Robinson Allen is 1982968848 and holds a License No. 057851-1 (NY). The current practice location address for Staci Robinson Allen is 44 Dale RD Ste 305, Avon, CT 06001-4351 and can be reached out via phone at 860-674-8417.

Provider Profile Details

NPI Number
1982968848
Provider Name
Staci Robinson Allen
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
44 Dale RD Ste 305, Avon, CT 06001-4351
Phone Number
860-674-8417
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2012
Last Update Date
April 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Dale RD Ste 305
Avon, CT 06001-4351
City
Avon
Zip
06001-4351
Phone Number
860-674-8417
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
44 Dale Road, Suite 305
Avon, CT 06001-5008
City
Avon
State
CT
Zip
06001-5008
Phone Number
860-674-8417

License Information

License Number
057851-1
License State
NY
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Staci R Allen, DDS?

The NPI number of Dr. Staci R Allen, DDS is 1982968848. It was assigned on June 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Staci R Allen, DDS?

Dr. Staci R Allen, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 057851-1.

Where does Dr. Staci R Allen, DDS practice?

The practice location is 44 Dale RD Ste 305, Avon, CT 06001-4351. The office can be reached at 860-674-8417 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982968848 directly on the NPPES registry website.

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