Organization
STATION PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BLAINE ALLEN DDS (PROVIDER/OWNER)
(801) 797-0068
Entity
Organization
Contact information
Practice address
1169 W CLARK LANE, STE 101, FARMINGTON, UT 84025-2993
(801) 797-0068
(801) 260-2110
Mailing address
1169 W CLARK LANE, STE 101, FARMINGTON, UT 84025-2993
(801) 797-0068
(801) 260-2110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
11/26/2025
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