Dr. Jedidiah Allen, DDS, MS, ABGD
Dentist, General Practice in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1013462605
StatusActive
Last updated in NPPESMar 3, 2026
Details
- NPI
- 1013462605
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jedidiah Allen
- Credential
- DDS, MS, ABGD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2016
- Certification date
- Mar 3, 2026
- Last updated
- Mar 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 32184 | TX | Yes |
| 122300000X | Dentist | 32184 | TX |
Practice location
2817 Rock Merritt AveFort Bragg, NC 28310-8503
Phone 910-907-8922 · Fax 910-907-6069
Mailing address
2817 Rock Merritt AveFort Bragg, NC 28310-8503
Phone 910-907-8922 · Fax 910-907-6069
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