Organization
TERRE HAUTE PERIODONTICS
Active
Other names
James Humphrey DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M HUMPHREY DDS (PRESIDENT)
(812) 232-0064
Entity
Organization
Contact information
Practice address
221 S 19TH ST, TERRE HAUTE, IN 47807-4129
(812) 232-0064
(812) 232-3834
Mailing address
221 S 19TH ST, TERRE HAUTE, IN 47807-4129
(812) 232-0064
(812) 232-3834
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12009022A
IN
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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