Organization
JEFFREY F. ALLEN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY FRANK ALLEN D.D.S. (OWNER/DENTIST)
(641) 628-1121
Entity
Organization
Contact information
Practice address
839 BROADWAY ST, PELLA, IA 50219-1521
(641) 628-1121
(641) 620-1035
Mailing address
839 BROADWAY ST, PELLA, IA 50219-1521
(641) 628-1121
(641) 620-1035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1138305
—
IA
Enumeration date
05/16/2008
Last updated
05/16/2008
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