Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679567739 Individual Practitioner Male Practitioner

Dr. Thomas J Allen , DDS

Dentist • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Allen, DDS is a registered healthcare professional specializing in Dentist in South Bend, IN. Practice services are available at 1901 W WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1901 W Western Ave
#b

South Bend, IN 466193521

Telephone 5742349033
Fax 5742349059
Associated Practice Facility / Clinic
🏢 Indiana Health Centers, Inc. Facility NPI 1174626014

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
35 Specialists

Practicing in South Bend, IN (1682 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12007316A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Delta Dental
88016N (IN)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Dr. Theresa Holladay , DO

Obstetrics & Gynecology

NPI 1053343608

Doctor of Osteopathic Medicine (D.O.)

Gertrude Mumba-Kaunda

Nurse Practitioner - Family

NPI 1093146631
NPI 1104277516

Doctor of Dental Medicine

Ange Ovide-Fleurant

Nurse Practitioner - Family

NPI 1144995606
Dr. April Chew , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1164030243

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Brandi Brown , CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1194262279

CPNPAC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1901 W WESTERN AVE, #B, SOUTH BEND, IN 466193521 (Tel: 5742349033)

📍
Updated Business Mailing Address July 08, 2007

Registered at 20821 WHISPERING CREEK CT, SOUTH BEND, IN 466145172 (Tel: 5742915373)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS ALLEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12007316A in IN)

🟢
Initial NPI Registration & Enumeration September 06, 2005

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: 1679567739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

20821 Whispering Creek Ct

South Bend, IN 466145172

Phone: 5742915373

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.