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Deactivated NPI 1790977866 Deactivated / Inactive NPI Male Practitioner

Dr. Charles T. Allen , DDS

Dentist - General Practice • Dothan, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Allen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2007
NPI Deactivation Date November 07, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Allen, DDS was a registered Dentist - General Practice practicing in Dothan, AL. Throughout an active medical career spanning 12 years, Dr. Allen provided care at the practice location at 2431 W MAIN ST until profile deactivation on 2019-11-07.

Practice Location & Contact Primary Location

Practice Address

2431 W Main St
Suite 402

Dothan, AL 363011217

Telephone 3347935334
Fax 3347933693
Associated Practice Facility / Clinic
🏢 Vein Center Llc Facility NPI 1629095393

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
36 Specialists

Practicing in Dothan, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL AL3140

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Celia Stump , DMD

Dentist - General Practice

NPI 1366634438

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 07, 2019

Record deactivated on November 07, 2019

NPI Profile Active August 13, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 13, 2007

Registered at 2431 W MAIN ST, SUITE 402, DOTHAN, AL 363011217 (Tel: 3347935334)

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Updated Business Mailing Address August 13, 2007

Registered at 2431 W MAIN ST, SUITE 402, DOTHAN, AL 363011217 (Tel: 3347935334)

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Provider Name / Credentials Updated August 13, 2007

Recorded as CHARLES ALLEN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2007

Dentist (License #AL3140 in AL)

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Initial NPI Registration & Enumeration August 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790977866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2007
Last Update: August 13, 2007
Deactivation Date: November 07, 2019

Mailing Address

2431 W Main St, Suite 402

Dothan, AL 363011217

Phone: 3347935334

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.