Provider Demographics
NPI:1053562413
Name:RAPOLLA, ALLEN RICHARD II (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:RICHARD
Last Name:RAPOLLA
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2731 W NORTHWEST HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-4782
Mailing Address - Country:US
Mailing Address - Phone:972-438-5444
Mailing Address - Fax:972-438-2540
Practice Address - Street 1:2217 IVAN ST APT 1111
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-7041
Practice Address - Country:US
Practice Address - Phone:858-442-5536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24197122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist