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Individual
DR. JAMES VERNON MYERS III
Active
Individual
DR. JAMES VERNON MYERS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225
DENTAL LICENSURE NUMBER
SC
01
—
45-3655834
TAX ID #
SC
05
—
ZX4225
—
SC
Enumeration date
04/24/2007
Last updated
10/22/2012
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