| James Oral And Maxillofacial Surgery Pllc | |
|
2677 E 17th St Ste 600 Ammon ID 83406-6619 | |
| (208) 705-9652 | |
| Not Available |
| Full Name | James Oral And Maxillofacial Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2677 E 17th St Ste 600, Ammon, Idaho |
| Authorized Official Name and Position | Theodore James (OWNER) |
| Authorized Official Contact | 2087059652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Oral And Maxillofacial Surgery Pllc 2677 E 17th St Ste 600 Ammon ID 83406-6619 Ph: () - | James Oral And Maxillofacial Surgery Pllc 2677 E 17th St Ste 600 Ammon ID 83406-6619 Ph: (208) 705-9652 |
| NPI Number | 1730941279 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730941279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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