NPI 1114296019 · live from the CMS NPI Registry
Jason David Allan, DDS
Dentist in Orem, UT. National Provider Identifier 1114296019, active.
NPI record
| NPI | 1114296019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1176 S 1480 W, Orem, UT 84058 |
| Practice phone | 801-426-0774 |
| Enumerated | December 21, 2011 |
| Last updated | December 21, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 6250598 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.