Individual
DR. JAMES GEORGE TRANTHAM IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1704 AIRPORT BLVD STE A, MELBOURNE, FL 32901
(321) 473-5414
(321) 952-1469
Mailing address
1704 AIRPORT BLVD STE A, MELBOURNE, FL 32901-4313
(321) 473-5414
(321) 952-1469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN17570
FL
1223G0001X
General Practice Dentistry
Primary
DN17570
FL
Other
Enumeration date
07/27/2006
Last updated
06/29/2018
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