Provider Demographics
NPI: | 1598777344 |
---|---|
Name: | JAMES F MAY DDS LLC |
Entity type: | Organization |
Organization Name: | JAMES F MAY DDS LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGING PARTNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | F |
Authorized Official - Last Name: | MAY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DDS |
Authorized Official - Phone: | 716-652-0600 |
Mailing Address - Street 1: | 6900 SENECA ST |
Mailing Address - Street 2: | PO BOX 349 |
Mailing Address - City: | ELMA |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14059-9522 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 716-652-0600 |
Mailing Address - Fax: | 716-652-9360 |
Practice Address - Street 1: | 6900 SENECA ST |
Practice Address - Street 2: | |
Practice Address - City: | ELMA |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14059-9522 |
Practice Address - Country: | US |
Practice Address - Phone: | 716-652-0600 |
Practice Address - Fax: | 716-652-9360 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-08-12 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 32869 | 1223G0001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |