Organization
JAMES LORD DDS ,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A LORD DDS (OWNER)
(608) 831-5151
Entity
Organization
Contact information
Practice address
1001 N GAMMON RD, SUITE #1, MIDDLETON, WI 53562-3874
(608) 831-5151
(608) 831-3194
Mailing address
1001 N GAMMON RD, SUITE #1, MIDDLETON, WI 53562-3874
(608) 831-5151
(608) 831-3194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3250015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33711200
—
WI
Enumeration date
06/09/2011
Last updated
06/09/2011
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