Individual
DR. JAMES A. MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510A N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 248-2588
Mailing address
510A N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 248-2588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008980
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0983656001
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
08/16/2006
Last updated
07/08/2007
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