Organization
DOCTOR JAMES E. EASH, D.D.S., P.C.
Active
Parent organization
DOCTOR JAMES E. EASH, D.D.S., P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCTOR JAMES E. EASH, D.D.S., P.C.
Authorized official
JAMES EDWIN EASH M.D. (PRESIDENT/OWNER)
(812) 897-1410
Entity
Organization
Contact information
Practice address
911 AIGNER DRIVE, BOONVILLE, IN 47601
(812) 897-1410
(812) 897-1464
Mailing address
911 AIGNER DRIVE, BOONVILLE, IN 47601
(812) 897-1410
(812) 897-1464
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
12008687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238920
—
IN
Enumeration date
03/16/2015
Last updated
03/16/2015
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