| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARYSSA A ALLEN | 1710535372 | 2020-10-25 |
Maryssa A Allen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710535372. Registration indicates Maryssa A Allen is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Maryssa A Allen DMD |
| Practice Office Address | 101 SHATTUCK WAY STE 5 NEWINGTON, NH US |
| Practice Office Telephone | 6034369200 |
| Mailing Address | 104 WASHINGTON ST APT 323 DOVER, NH 038203884 US |
| Business Telephone | 7742547788 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | DN1858457
MA |
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 04516
NH |