NPI 1003093048

Allen Edward Godell, DDS

Practitioner General Practice Dentistry Dearborn, MI

Practice location

Address: 23100 Cherry Hill St Suite 3, Dearborn, MI 48124-1493
Phone: (313) 274-6404
Fax: (313) 562-6969

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 10796 (MI)

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Registry record

NPI: 1003093048
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2008
Record last updated: 22 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.