Provider Demographics
NPI:1386070811
Name:JAMES FAMILY DENTISTRY, PA
Entity type:Organization
Organization Name:JAMES FAMILY DENTISTRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:BONE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-795-1978
Mailing Address - Street 1:685 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7642
Mailing Address - Country:US
Mailing Address - Phone:561-795-1978
Mailing Address - Fax:561-795-9508
Practice Address - Street 1:685 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7642
Practice Address - Country:US
Practice Address - Phone:561-795-1978
Practice Address - Fax:561-795-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty