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NPI 1972612869

Jason L. Allen, DMD

Dentist, General Practice · Saint Louis, MO

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 9:14 am EDT

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Jason L. Allen, DMD is a health care provider (Dentist, General Practice) in Saint Louis, Missouri with National Provider Identifier (NPI) 1972612869. The NPI was issued on Aug 30, 2006 and the registry record was last updated on Jan 14, 2021. The registry lists a license in Missouri.

Registry record

NPI
1972612869
Type
Individual (NPI-1), sole proprietor
Primary specialty
Dentist, General Practice 1223G0001X
Practice location
3707 Watson Rd
Saint Louis, MO 63109-1236
Phone
(314) 645-6400
NPI issued
Aug 30, 2006
Registry record updated
Jan 14, 2021

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Dentist, General Practice Primary1223G0001XMissouri2006000782

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Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.