NPI 1205040292 · live from the CMS NPI Registry
Riley Lee Allen, DMD
Dentist in Prineville, OR. National Provider Identifier 1205040292, active.
NPI record
| NPI | 1205040292 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 208 Ne Elm St, Prineville, OR 97754 |
| Practice phone | 541-447-3883 |
| Enumerated | May 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 4016 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.