NPI 1043558984

Jason M Allred

Practitioner Dental Therapist Wadena, MN

Practice location

Address: 206 1st St SE, Wadena, MN 56482-1561
Phone: (218) 631-4431
Mailing address: 91 Putter Ln, Wadena, MN 56482-8900

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DT20 (MN)

Other Dental Therapist providers in Minnesota →

Registry record

NPI: 1043558984
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2013
Record last updated: 28 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.