Organization
JAMES R MAYO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R MAYO DDS (PRESIDENT)
(937) 548-5800
Entity
Organization
Contact information
Practice address
207 WAGNER AVE, GREENVILLE, OH 45331
(937) 548-5800
(937) 548-5800
Mailing address
207 WAGNER AVE, GREENVILLE, OH 45331
(937) 548-5800
(937) 548-5800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30013937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197148
—
OH
Enumeration date
12/09/2006
Last updated
08/22/2020
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