Provider Demographics
NPI:1710392519
Name:ALLEN, SARAH PARKER (DDS, MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PARKER
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15843 MILLER FARM RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 N WASHINGTON AVE STE 2400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1736
Practice Address - Country:US
Practice Address - Phone:214-550-1945
Practice Address - Fax:214-550-1954
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCERTIFICATE1223P0700X
TX25388122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1932901410OtherOFFICE NPI NUMBER
TXCO173560OtherDPS