Provider Demographics
NPI:1700812484
Name:ACTON, ALLAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:ACTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:CARY
Other - Middle Name:FAMILY
Other - Last Name:DENTAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:102 FOUNTAIN BROOK CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4476
Mailing Address - Country:US
Mailing Address - Phone:919-460-6884
Mailing Address - Fax:919-460-8787
Practice Address - Street 1:102 FOUNTAIN BROOK CIR
Practice Address - Street 2:SUITE A
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4476
Practice Address - Country:US
Practice Address - Phone:919-460-6884
Practice Address - Fax:919-460-8787
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC73971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice