Provider Demographics
NPI:1528751682
Name:LENT, ALLISON MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MICHELLE
Last Name:LENT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MICHELLE
Other - Last Name:HELLWEGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:432 BROOKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-8044
Mailing Address - Country:US
Mailing Address - Phone:219-508-6487
Mailing Address - Fax:
Practice Address - Street 1:8000 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8824
Practice Address - Country:US
Practice Address - Phone:219-356-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014109A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice