James Alvin Douglas D.D.S.

NPI 1619144672 - Dentist - 1223G0001X

NPI Details
NPI 1619144672
Gender Male
Enumeration Date 05/09/2008
Last Updated 05/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
820 E COLFAX AVE
SOUTH BEND IN, 46617-2804, US
Phone (574) 289-5776
Fax (574) 289-5777
Business Location
820 E COLFAX AVE
SOUTH BEND IN, 46617-2804, US
Phone (574) 289-5776
Fax (574) 289-5777
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12006702A
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According to our database, Dr. James Alvin Douglas D.D.S. NPI is 1619144672, taxonomy code is 1223G0001X and license number is 12006702A, license state is located at Indiana. James Alvin Douglas D.D.S. physically located at 820 E Colfax Ave, South Bend IN, 46617-2804. NPI Number James Alvin Douglas D.D.S. has the Individual type.

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1619144672 NPI number is provided on an as is basis without warranty of any kind. 1619144672 is maintained by the National Plan & Provider Enumeration System. The contents of James Alvin Douglas D.D.S. are for informational purposes only.