Provider Demographics
NPI:1609066851
Name:ALLEN, PAUL H (DDS, MS)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:ALLEN
Suffix:
Gender:
Credentials:DDS, MS
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2624 GRAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4676
Mailing Address - Country:US
Mailing Address - Phone:970-928-9500
Mailing Address - Fax:970-928-7467
Practice Address - Street 1:2624 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4676
Practice Address - Country:US
Practice Address - Phone:970-928-9500
Practice Address - Fax:970-928-7467
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry