Provider Demographics
NPI:1528288479
Name:HOSNER, JAMES A (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:HOSNER
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 1:5631 SONNEN CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-2533
Mailing Address - Country:US
Mailing Address - Phone:239-481-6846
Mailing Address - Fax:
Practice Address - Street 1:35 BARKLEY CIR
Practice Address - Street 2:#3
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7531
Practice Address - Country:US
Practice Address - Phone:239-278-0021
Practice Address - Fax:239-278-5633
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL98651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice