Provider Demographics
NPI:1457352445
Name:TODD, ALLEN DEHEER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:DEHEER
Last Name:TODD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 N SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-8489
Mailing Address - Country:US
Mailing Address - Phone:435-251-9240
Mailing Address - Fax:
Practice Address - Street 1:754 S MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5504
Practice Address - Country:US
Practice Address - Phone:435-652-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010067071223P0300X
UT6209237-99221223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics