Individual
DR. JOHN WILTON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
460 S MAIN ST, DAVIDSON, NC 28036-8006
(704) 892-0655
(704) 892-0559
Mailing address
460 S MAIN ST, P.O. BOX 159, DAVIDSON, NC 28036-8006
(704) 892-0655
(704) 892-0559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799005Y
—
NC
Enumeration date
06/26/2007
Last updated
07/08/2007
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