Individual
DR. JOHN MICHAEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1219 N ST, AURORA, NE 68818-1621
(402) 694-2044
Mailing address
1219 N ST, P. O. BOX 289, AURORA, NE 68818-1621
(402) 694-2044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4441
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193200000X
—
NE
Enumeration date
02/04/2013
Last updated
02/04/2013
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