Shannon Allen, DMD

NPI #1588344824 in Glen Carbon, Illinois

Provider Information

NPI Number: 1588344824
Entity Type: Individual
Name: Shannon Allen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 21, 2023
Last Updated: Jul 18, 2024

Practice Location

Address: 21 GLEN ED PROFESSIONAL PARK
City: Glen Carbon
State: Illinois
ZIP Code: 62034-3333
Phone: (618) 656-0608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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