Individual
JAMES ROBERT MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
207 WAGNER AVENUE, GREENVILLE, OH 45331
(937) 548-5800
(937) 548-5800
Mailing address
207 WAGNER AVENUE, 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
11/21/2006
Last updated
07/08/2007
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