Dr. Thomas James Allen, DDS
Dentist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1447366273
StatusActive
Last updated in NPPESJan 7, 2019
Details
- NPI
- 1447366273
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas James Allen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Jan 7, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9332582-9921 | UT | Yes |
Practice location
4020 S 700 E Ste 4Salt Lake City, UT 84107-2579
Phone 801-266-4352 · Fax 801-266-4803
Mailing address
4020 S 700 E Ste 4Salt Lake City, UT 84107-2579
Phone 801-266-4352 · Fax 801-266-4803
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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