DR. CHARLES T. ALLEN III (NPI# 1790977866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790977866 |
| Entity Type | Individual |
| Full Name | DR. CHARLES T. ALLEN III |
| Credential | D.D.S. |
| Practice Address |
2431 W Main St Suite 402 Dothan AL 36301-1217 |
| Practice Telephone | 3347935334 |
| Practice Fax Number | 3347933693 |
| Mailing Telephone | 3347935334 |
| Mailing Fax Number | 3347933693 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AL3140 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912444647 | Charles Tyler Allen | Chiropractor | 818 Knights Cross Dr, Ste. 5107, San Antonio, TX 78258-2982 | 2017-01-19 |
| 1023495355 | Charles Allen Jr. | Licensed Practical Nurse | 4421 Granada Blvd, Apt 533, Warrensville Heights, OH 44128-4823 | 2015-05-06 |
| 1861804668 | Charles Allen | Counselor | 1717 Seascape Cir, Tarpon Springs, FL 34689-2962 | 2014-05-28 |
| 1205248143 | Charles William Allen II | Marriage & Family Therapist | 11500 Olympic Ave, # 420, Los Angeles, CA 90064 | 2014-05-27 |
| 1922344522 | Charles William Allen Sr. | Nutritionist | 9703 Ne 2nd Pl, Oklahoma City, OK 73130-3509 | 2012-12-31 |
| 1215133319 | Charles Allen | Emergency Medicine | 1275 So State St, Dover, DE 19901 | 2007-06-25 |
| 1144345364 | Charles T Allen | Podiatrist | 5700 S Kedzie Ave, Chicago, IL 60629-2408 | 2007-03-20 |
| 1144370958 | Charles Davis Allen Jr. | Dentist | 508 Mckay St., Elizabethtown, NC 28337-0235 | 2007-01-12 |
| 1124053251 | Charles Allen | Pharmacist | 221 Flagstone Ln, Raeford, NC 28376-3260 | 2006-07-11 |
| 1548216237 | Charles J Allen | Occupational Therapist | 2108 Joshuas Path, Hauppauge, NY 11788-4764 | 2006-05-25 |
| Street Address |
2431 W MAIN ST SUITE 402 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228388 | L Terry Pynes | Specialist | 2431 W Main St, Ste 501, Dothan, AL 36301 | 2005-07-12 |
| 1457898983 | Wiregrass Medical Associates 2 LLC | Internal Medicine | 2431 W Main St, Ste 1102, Dothan, AL 36301-1217 | 2017-01-23 |
| 1366987208 | Lynette M Elkins | Nurse Practitioner | 2431 W Main St, Suite 1102, Dothan, AL 36301-1217 | 2017-01-02 |
| 1881016491 | Miller Orthodontics, LLC | Dentist | 2431 W Main St, Suite 303, Dothan, AL 36301-1217 | 2014-01-16 |
| 1376800458 | Karina Jean Parker | Counselor | 2431 W Main St, Suite 603, Dothan, AL 36301-1217 | 2012-04-13 |
| 1205107240 | Barbara Diane Coffey | Counselor | 2431 W Main St, Suite 603, Dothan, AL 36301-1217 | 2012-01-23 |
| 1821383035 | Dothan Cosmetic Dentistry, PC | Dentist | 2431 W Main St, Suite 401, Dothan, AL 36301-1217 | 2011-06-15 |
| 1235438748 | Dermatology Associates of Bay County, P.a. | Dermatology | 2431 W Main St, Suite 501, Dothan, AL 36301-1217 | 2011-03-23 |
| 1356658868 | Maxwell Geoff Gunn | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2010-09-03 |
| 1295067643 | Patrick Scott Nelson | Physician Assistant | 2431 W Main St, 501, Dothan, AL 36301-1217 | 2010-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245868827 | Alpha Dental | Dentist | 1865 E. Main St. Suite #2, Dothan, AL 36301-3630 | 2020-03-30 |
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1215323803 | C. Douglas Smith, D.m.d.,llc | Dentist | 1609 W Main St Ste 202, Dothan, AL 36301-1359 | 2015-04-09 |
| 1346649472 | Rajiv Tuladhar | Dentist | 3400 Montgomery Hwy, Dothan, AL 36303-2111 | 2014-08-14 |
| 1235554809 | Moulthrop&parker Dmd PC | Dentist | 2431 W Main St Ste 601, Dothan, AL 36301-1270 | 2014-02-19 |
| 1194088385 | Comfort Dental of Dothan LLC | Dentist | 4440 W Main St Ste 2, Dothan, AL 36305-1186 | 2012-06-21 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1194858464 | William Rhone Parrish | Dentist | 1389 W Main St Ste 1, Dothan, AL 36301-1309 | 2007-03-14 |
| 1609964709 | Labruce Mortimer Hanahan Jr. | Dentist | 1817 W Main St, Suite 2, Dothan, AL 36301 | 2006-10-11 |
| 1295833705 | Nancy M Hein | Dentist | 102 Professional Ln, Dothan, AL 36303-3874 | 2006-09-20 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.