Individual
DR. JAMES LEONARD MENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2411 PENNY RD, SUITE 204, HIGH POINT, NC 27265-8124
(336) 883-1371
(336) 883-8158
Mailing address
2411 PENNY ROAD, SUITE 204, HIGH POINT, NC 27265-8124
(336) 883-1371
(336) 883-8158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8995908
MEDICAID PROVIDER NUMBER
NC
01
—
95908
BCBS PROVIDER NUMBER
NC
Enumeration date
06/28/2006
Last updated
07/08/2007
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