Individual
JASON PHILLIP ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-3534
Mailing address
5 KARAISKAKI, LARNACA, CYPRUS 00601-8
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
07/27/2025
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