Provider Demographics
NPI:1285707208
Name:JANDA, JAMES M (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:JANDA
Suffix:
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 1:3015 E NEW YORK ST
Mailing Address - Street 2:SUITE A10
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5162
Mailing Address - Country:US
Mailing Address - Phone:630-820-2020
Mailing Address - Fax:630-820-1964
Practice Address - Street 1:3015 E NEW YORK ST
Practice Address - Street 2:SUITE A10
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5162
Practice Address - Country:US
Practice Address - Phone:630-820-2020
Practice Address - Fax:630-820-1964
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice