NPI 1376758318 · live from the CMS NPI Registry
Robert Benjamin Allred, DMD, M.S.
Dentist in Griffin, GA. National Provider Identifier 1376758318, active.
NPI record
| NPI | 1376758318 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 743 S 8th St, Griffin, GA 30224 |
| Practice phone | 770-228-6101 |
| Mailing address | 2935 Hickory Hill Rd, Brooks, GA 30205 |
| Enumerated | May 12, 2007 |
| Last updated | May 28, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001004 (GA) |
| Marriage & Family Therapist | 106H00000X | 4929966-3902 (UT) |
| Dentist primary | 122300000X | DN014067 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.