NPI 1669566949 · live from the CMS NPI Registry
Craig Jackson Allan, D.D.S.
Dentist in West Jordan, UT. National Provider Identifier 1669566949, active.
NPI record
| NPI | 1669566949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2414 W 7800 S, West Jordan, UT 84088 |
| Practice phone | 801-565-7455 |
| Enumerated | October 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 5149430-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.