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Individual

DR. JEFFREY FRANK ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
839 BROADWAY, PELLA, IA 50219
(641) 628-1121
(641) 620-1035
Mailing address
839 BROADWAY, PELLA, IA 50219
(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
01
24843
BLUE CROSS BLUE SHIELD
IA
01
969500
UNITED CONCORDIA
PA
Enumeration date
10/21/2006
Last updated
07/08/2007
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