NPI 1073192563 · live from the CMS NPI Registry
Charris Allen
Dentist, General Practice in Newark, DE. National Provider Identifier 1073192563, active.
NPI record
| NPI | 1073192563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 300 Biddle Ave Ste 204, Newark, DE 19702 |
| Practice phone | 302-838-8306 |
| Mailing address | 501 W 14th St, Wilmington, DE 19801 |
| Enumerated | April 3, 2021 |
| Last updated | July 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 0011521 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.