# HARRIS & ALLEN DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942508361
- **Authorized official:** SCOTT T ALLEN (OWNER)
- **Authorized official phone:** (208) 529-4500

## Contact information

- **Practice address:** 3815 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
- **Practice address phone:** (208) 529-4500
- **Mailing address:** 3815 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
- **Mailing address phone:** (208) 529-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1641 | ID | — |
| 1223G0001X | General Practice Dentistry | D4152 | ID | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011