Organization
JAMES D. ENLOE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D ENLOE D.D.S. (OWNER)
(641) 684-0215
Entity
Organization
Contact information
Practice address
415 E MAIN ST, OTTUMWA, IA 52501-3027
(641) 684-0215
(641) 684-5072
Mailing address
415 E MAIN ST, OTTUMWA, IA 52501-3027
(641) 684-0215
(641) 684-5072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8043
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443770
—
IA
Enumeration date
12/05/2012
Last updated
11/15/2013
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