Provider Demographics
NPI:1427304377
Name:QUICK, JAMES R (DMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:QUICK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:951 BROKEN SOUND PKWY
Mailing Address - Street 2:185
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3507
Mailing Address - Country:US
Mailing Address - Phone:561-999-9651
Mailing Address - Fax:561-994-5449
Practice Address - Street 1:451 UNIVERSITY BLVD
Practice Address - Street 2:101
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3102
Practice Address - Country:US
Practice Address - Phone:561-427-6850
Practice Address - Fax:561-427-6860
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN12388122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist