Jacob Miller Allen
Dentist
10590 Enduring Freedom Dr
Fort Drum
, New York 13602-5503
(316) 772-6234
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About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Dentist
Languages spoken
- English
Location
First Address
- Jacob Miller Allen
- 10590 Enduring Freedom Dr
- Fort Drum, NY
- Zip : 13602-5503
- Phone : (316) 772-6234
Second Address
- Jacob Miller Allen
- 10590 Enduring Freedom Dr
- Fort Drum, NY
- Zip : 13602-5503
- Phone : (316) 772-6234
Reviews
FAQs
Where did Jacob Miller Allen attend graduate school?
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Where did Jacob Miller Allen do his residency?
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Where did Jacob Miller Allen do his fellowship?
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Is Jacob Miller Allen board certified?
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What type of doctor is Jacob Miller Allen
Dentist
In what state does Jacob Miller Allen practice in?
New York
Where is Jacob Miller Allen ’s practice located?
10590 Enduring Freedom Dr , Fort Drum, New York, 13602-5503
What is Jacob Miller Allen ’s gender?
Male
Is Jacob Miller Allen a sole practitioner?
No
Is Jacob Miller Allen accepting new patients?
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What languages does Jacob Miller Allen speak?
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Does Jacob Miller Allen accept insurance?
Yes, Jacob Miller Allen accepts insurance
Does Jacob Miller Allen offers telemedicine?
Jacob Miller Allen has not indicated if he offers telemedicine
What is Jacob Miller Allen ’s professional license number?
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What is Jacob Miller Allen ’s NPI number?
1003464009
Does Jacob Miller Allen have any license restrictions?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 35696 | TX |
National Provider Identifier
| NPI | 1003464009 |
|---|---|
| Provider Name | Jacob Miller Allen |
| First Address | Fort Drum, NY 13602-5503 |
| Second Address | Fort Drum, NY 13602-5503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/09/2019 |
| Last Update Date | 03/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.