Dr. Jason David Allan, DDS
Dentist in Orem, UT. Individual provider (NPI-1).
NPI number1114296019
StatusActive
Last updated in NPPESDec 21, 2011
Details
- NPI
- 1114296019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason David Allan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2011
- Last updated
- Dec 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6250598 | UT | Yes |
Practice location
1176 S 1480 WOrem, UT 84058-4905
Phone 801-426-0774 · Fax 801-224-5437
Mailing address
1176 S 1480 WOrem, UT 84058-4905
Phone 801-426-0774 · Fax 801-224-5437
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