# DR. ALLEN TRENT VERNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619297843
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-4297 | ID | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 03/29/2017
