James Ralph Davidsmeyer DDS

NPI 1679722011 - Dentist - 122300000X

NPI Details
NPI 1679722011
Gender Male
Enumeration Date 09/10/2008
Last Updated 09/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1100 LAFAYETTE ST.
BEARDSTOWN IL, 62618-1745, US
Phone (217) 323-2430
Fax (217) 323-3080
Business Location
1100 LAFAYETTE ST.
BEARDSTOWN IL, 62618-1745, US
Phone (217) 323-2430
Fax (217) 323-3080
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 19-A-10612
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According to our database, Dr. James Ralph Davidsmeyer DDS NPI is 1679722011, taxonomy code is 122300000X and license number is 19-A-10612, license state is located at Illinois. James Ralph Davidsmeyer DDS physically located at 1100 Lafayette St., Beardstown IL, 62618-1745. NPI Number James Ralph Davidsmeyer DDS has the Individual type.

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1679722011 NPI number is provided on an as is basis without warranty of any kind. 1679722011 is maintained by the National Plan & Provider Enumeration System. The contents of James Ralph Davidsmeyer DDS are for informational purposes only.