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NPI 1912286360 · live from the CMS NPI Registry

Ryan Blaine Allen, DDS

Dentist, General Practice in North Ogden, UT. National Provider Identifier 1912286360, active.

NPI record

NPI1912286360 Type 1 · individual
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location2251 N 400 E, North Ogden, UT 84414
Practice phone801-782-9544
EnumeratedAugust 16, 2011
Last updatedApril 1, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001X8029238-9922 (UT)
Dentist122300000X8029238-8903 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.