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Dr. Stanton Cannon Allen, DDS
Pediatric Dentist in Providence, Utah
NPI 1912963935

Stanton Cannon Allen is a Pediatric Dentist based in Providence, UT and is specialized in Pediatric Dentistry. Stanton Cannon Allen practices in Providence, UT and has the professional credentials of DDS. The NPI Number for Stanton Cannon Allen is 1912963935 and holds a License No. 5854224 (Utah).

The current practice location address for Stanton Cannon Allen is 65 N. Gateway Drive, Providence, UT and can be reached out via phone at 435-787-2223 and via fax at 435-752-9296.

Location: 65 N. Gateway Drive, Providence, UT, 84332-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912963935
Provider Name
Stanton Cannon Allen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
65 N. Gateway Drive, Providence, UT, 84332-6102
Phone Number
435-787-2223
Fax Number
435-752-9296
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
65 N. Gateway Drive
City
Providence
State
Utah
Zip
84332-6102
Phone Number
435-787-2223
Fax Number
435-752-9296
person
Provider Business Mailing Address Details
Address
65 N. Gateway Drive
City
Providence
State
Utah
Zip
84332-6102
Phone Number
435-787-2223
Fax Number
435-752-9296
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5854224 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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