Provider Demographics
NPI:1194877712
Name:ALLEMAN, RICHARD AUBREY (DDS)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:AUBREY
Last Name:ALLEMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SOUTH SOPHIA ST
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:MI
Mailing Address - Zip Code:49245-1326
Mailing Address - Country:US
Mailing Address - Phone:517-568-3778
Mailing Address - Fax:
Practice Address - Street 1:408 SOUTH SOPHIA ST
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:MI
Practice Address - Zip Code:49245-1326
Practice Address - Country:US
Practice Address - Phone:517-568-3778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010101011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIJ101010OtherBLUE CROSS BLUE SHIELD