# BOURNE & TALBOT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Makers Dental Care of Octillo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760595839
- **Authorized official:** DR. JAMES BOURNE DDS (DOCTOR)
- **Authorized official phone:** (480) 895-3111

## Contact information

- **Practice address:** 3225 S. ALMA SCHOOL RD, \#102, CHANDLER, AZ 85224
- **Practice address phone:** (480) 895-3111
- **Practice address fax:** (480) 899-5170
- **Mailing address:** 3225 S. ALMA SCHOOL RD, \#102, CHANDLER, AZ 85224
- **Mailing address phone:** (480) 895-3111
- **Mailing address fax:** (480) 899-5170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 08/22/2020