Provider Demographics
NPI:1124164272
Name:ALLEN, DANIEL MERLE (DDS MS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MERLE
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:824 E REDD RD STE 1-A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7262
Mailing Address - Country:US
Mailing Address - Phone:915-581-8159
Mailing Address - Fax:915-833-7517
Practice Address - Street 1:824 E REDD RD STE 1-A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7262
Practice Address - Country:US
Practice Address - Phone:915-581-8159
Practice Address - Fax:915-833-7517
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDD-3769-OR1223X0400X
TX00230721223X0400X
WADE000097401223X0400X
UT320651-99211223X0400X
IL190254731223X0400X
WI5677 - 151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics