Individual
JAMES A WIMSATT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-5202
(907) 580-5022
Mailing address
13231 FULLENWIDER CIR, EAGLE RIVER, AK 99577-6709
(907) 580-5202
(907) 580-5022
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4900
OK
Other
Enumeration date
09/29/2005
Last updated
08/07/2008
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