# ABC PEDIATRIC DENTISTRY, PC

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

## Provider details

- **NPI number:** 1992119390
- **Authorized official:** DR. STANTON C. ALLEN DDS. (OWNER)
- **Authorized official phone:** (435) 787-2223

## Contact information

- **Practice address:** 65 N GATEWAY DR STE 1, PROVIDENCE, UT 84332-6102
- **Practice address phone:** (435) 787-2223
- **Practice address fax:** (435) 752-9296
- **Mailing address:** 65 N GATEWAY DR STE 1, PROVIDENCE, UT 84332-6102
- **Mailing address phone:** (435) 787-2223
- **Mailing address fax:** (435) 752-9296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5854224 | UT | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 02/19/2018