NPI 1992955934 · live from the CMS NPI Registry
Donald Allred
Dentist in Ft. Duchesne, UT. National Provider Identifier 1992955934, active.
NPI record
| NPI | 1992955934 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 6822 East 1000 South, Ft. Duchesne, UT 84026 |
| Practice phone | 435-722-5122 |
| Enumerated | September 26, 2008 |
| Last updated | September 29, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 7021848-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.