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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
Update your record

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