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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL JAY ALLEN, DDS

Active Sole Proprietor

MICHAEL JAY ALLEN, DDS is a Endodontics healthcare provider located in ROSEBURG, Oregon. NPI 1689851636 is currently active in the NPPES registry. Verify at CMS.

Endodontics · ROSEBURG, OR

Registration Details

NPI Number
1689851636
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2008 (18.519085344323 yrs)
Last Updated
Jan 22, 2008
License
D8752 (OR)
Sole Proprietor
Yes

Practice Information

Address
1813 W HARVARD AVENUE
SUITE 240
ROSEBURG, OR, 97470
Browse OR providers · Browse ZIP 97470
Phone
5414409175
Fax
5416731246
Primary Specialty
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.