Individual
DR. JEDIDIAH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, ABGD
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-8503
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-8503
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32184
TX
1223G0001X
General Practice Dentistry
Primary
32184
TX
Other
Enumeration date
08/24/2016
Last updated
03/03/2026
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