Individual provider · Type 1 NPI

Stanton Cannon Allen, DDS

Pediatric Dentistry · Providence, UT

NPI number 1912963935 Active

Practice location

65 N. Gateway Drive, Ste #1
Providence, UT 84332-6102

Fax (435) 752-9296

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X5854224 (UT)

Pediatric Dentistry: 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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About NPI 1912963935

Stanton Cannon Allen, DDS's National Provider Identifier is 1912963935, issued on Apr 26, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Providence, UT. The record was last updated on Feb 23, 2018.