| C. Jackson Allan Dds Pc | |
|
2414 W 7800 S West Jordan UT 84088-4292 | |
| (801) 565-7455 | |
| (801) 569-1922 |
| Full Name | C. Jackson Allan Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 2414 W 7800 S, West Jordan, Utah |
| Authorized Official Name and Position | Craig Jackson Allan (DENTIST/PRESIDENT) |
| Authorized Official Contact | 8015657455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Jackson Allan Dds Pc 2414 W 7800 S West Jordan UT 84088-4292 Ph: (801) 565-7455 | C. Jackson Allan Dds Pc 2414 W 7800 S West Jordan UT 84088-4292 Ph: (801) 565-7455 |
| NPI Number | 1235449919 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235449919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5149430 (Utah) | Primary |
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