Individual
DR. JAMES ALLEN SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7550 S. STATE ROAD 67, PENDLETON, IN 46064-9280
(765) 778-2700
(765) 778-8600
Mailing address
7550 S. STATE ROAD 67, PENDLETON, IN 46064-9280
(765) 778-2700
(765) 778-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010191
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200242770
—
IN
Enumeration date
07/27/2006
Last updated
04/10/2017
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