Organization
KURT D JAMES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT DICK JAMES DDS PC (PRESIDENT)
(618) 667-3446
Entity
Organization
Contact information
Practice address
550 EDWARDSVILLE RD, TROY, IL 62294-1338
(618) 667-3446
(618) 667-4141
Mailing address
550 EDWARDSVILLE RD, TROY, IL 62294-1338
(618) 667-3446
(618) 667-4141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025675
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457456923
TYPE I NPI
IL
Enumeration date
03/27/2008
Last updated
03/27/2008
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