IndividualActive
Robert Allen, D.D.S.
NPI 1356425979 · Oral and Maxillofacial Pathology Dentistry · Petaluma, CA
Provider details
- NPI number
- 1356425979
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31015 (CA)
Specialties & taxonomies
Dental Providers
Practice location
101 Lynch Creek Way Ste B
Petaluma, CA 94954-8301
Phone: (707) 769-1414
Fax: (707) 769-1317
Approximate (ZIP-level) locationGet directions
Mailing address
101 Lynch Creek Way Ste B
Petaluma, CA 94954-8301
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.