Individual
DR. JAMES M. HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
221 S. 19TH STREET, TERRE HAUTE, IN 47807-4129
(812) 232-0064
(812) 232-3834
Mailing address
221 S. 19TH STREET, TERRE HAUTE, IN 47807-4129
(812) 232-0064
(812) 232-3834
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12009022A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252020A
—
IN
Enumeration date
09/17/2008
Last updated
02/26/2026
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