Individual
JAMES C. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 E 1ST N, REXBURG, ID 83440-1614
(208) 356-5600
(208) 419-0202
Mailing address
106 E 1ST N, REXBURG, ID 83440-1614
(208) 356-5600
(208) 419-0202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3634
ID
1223G0001X
General Practice Dentistry
D-3634
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6I138
BLUE CROSS OF IDAHO
ID
05
—
806597000
—
ID
Enumeration date
08/10/2006
Last updated
08/03/2026
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