# JAMES G BARSAMIAN DMD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174891121
- **Authorized official:** JAMES G BARSAMIAN DMD (DMD OWNER)
- **Authorized official phone:** (904) 246-6545

## Contact information

- **Practice address:** 472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
- **Practice address phone:** (904) 246-6545
- **Practice address fax:** (904) 246-3817
- **Mailing address:** 472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
- **Mailing address phone:** (904) 246-6545
- **Mailing address fax:** (904) 246-3817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN0008661 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 04/16/2012