Individual provider · NPI-1

Dr. David A Allen, DDS

Dentist, General Practice · Medford, OR

NPI number1457453474
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1457453474
Entity type
Individual (NPI-1)
Name
Dr. David A Allen
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD8125ORYes

Practice location

1059 Royal Avenue
David A Allen DDS
Medford, OR 97504

Phone 541-779-8694 · Fax 541-245-8083

Mailing address

1059 Royal Avenue
David A Allen DDS
Medford, OR 97504

Phone 541-779-8694 · Fax 541-245-8083

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