Provider Demographics
NPI:1306967112
Name:ONG, JAMES NELSON (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NELSON
Last Name:ONG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:3146 NORTHSIDE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-8014
Mailing Address - Country:US
Mailing Address - Phone:305-293-9490
Mailing Address - Fax:305-294-2233
Practice Address - Street 1:3146 NORTHSIDE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-8014
Practice Address - Country:US
Practice Address - Phone:305-293-9490
Practice Address - Fax:305-294-2233
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL131421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice