Individual Healthcare Provider
Jessica Allen, DMD
Provider's NPPES record last updated: December 4, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164719290
- Primary Specialty
- Dentist — Periodontics
- Practice Location
- Fort Collins, Colorado
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:46 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Periodontics
Dental Providers
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Taxonomy code 1223P0300X
Provider-Reported License Information
- Dentist (Colorado)
- 00203431
- Dentist (Wyoming)
- 1690
Practice Locations
Practice Location
4033 Boardwalk Dr Unit 100
Fort Collins, Colorado 80525-5937
Phone: (970) 207-4061
Additional Practice Location
7010 Yellowtail Rd Ste 200
Cheyenne, Wyoming 82009-6113
Phone: (307) 423-0325
Additional Practice Location
1813 61st Ave Ste 210
Greeley, Colorado 80634-8059
Phone: (970) 351-6166
Record Information
- Enumeration Date
- July 10, 2011
- Provider's NPPES Record Last Updated
- December 4, 2025
- Certification Date
- December 4, 2025
- NPISignal NPPES Dataset
- August 2026
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