Provider Demographics
NPI:1609027184
Name:ALLEN, FRANKLIN DEAN JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:DEAN
Last Name:ALLEN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6065 HIGHLAND DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1374
Mailing Address - Country:US
Mailing Address - Phone:801-277-5181
Mailing Address - Fax:
Practice Address - Street 1:6065 HIGHLAND DR
Practice Address - Street 2:SUITE 1
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1374
Practice Address - Country:US
Practice Address - Phone:801-277-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5117890-99211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice