Provider Demographics
NPI:1316969710
Name:JANNEY, ALLYN GARDNER JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLYN
Middle Name:GARDNER
Last Name:JANNEY
Suffix:JR
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 1:7496 LEE DAVIS RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3678
Mailing Address - Country:US
Mailing Address - Phone:804-746-2052
Mailing Address - Fax:
Practice Address - Street 1:7496 LEE DAVIS ROAD
Practice Address - Street 2:SUITE 19
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3608
Practice Address - Country:US
Practice Address - Phone:804-746-2052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010068071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice