Provider Demographics
NPI:1528106358
Name:JAMES J. HEIN
Entity type:Organization
Organization Name:JAMES J. HEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:541-459-2882
Mailing Address - Street 1:PO BOX 739
Mailing Address - Street 2:
Mailing Address - City:SUTHERLIN
Mailing Address - State:OR
Mailing Address - Zip Code:97479-0739
Mailing Address - Country:US
Mailing Address - Phone:541-459-2882
Mailing Address - Fax:541-459-6361
Practice Address - Street 1:155 N. UMPQUA ST.
Practice Address - Street 2:
Practice Address - City:SUTHERLIN
Practice Address - State:OR
Practice Address - Zip Code:97479
Practice Address - Country:US
Practice Address - Phone:541-459-2882
Practice Address - Fax:541-459-6361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR48321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty