Organization
J MICHAEL ALLEN DDS PC
Active
Other names
Aurora Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
J MICHAEL ALLEN DDS (PRES)
(402) 684-2044
Entity
Organization
Contact information
Practice address
1219 N ST, AURORA, NE 68818-0289
(402) 694-2044
(402) 694-6244
Mailing address
PO BOX 289, AURORA, NE 68818-0289
(402) 694-2044
(402) 694-6244
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4441
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025101900
—
NE
Enumeration date
05/04/2006
Last updated
08/23/2012
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