Provider Demographics
NPI:1861526477
Name:HARTMAN, ALLEN DENNIS (DDS)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:DENNIS
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5418
Mailing Address - Country:US
Mailing Address - Phone:561-848-0666
Mailing Address - Fax:561-848-0696
Practice Address - Street 1:521 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5418
Practice Address - Country:US
Practice Address - Phone:561-848-0666
Practice Address - Fax:561-848-0696
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD43211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice