Provider Demographics
NPI:1174616940
Name:CASE, JAMES G (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:CASE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:821 NICKLIN AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-1739
Mailing Address - Country:US
Mailing Address - Phone:937-773-1208
Mailing Address - Fax:937-773-8161
Practice Address - Street 1:821 NICKLIN AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-1739
Practice Address - Country:US
Practice Address - Phone:937-773-1208
Practice Address - Fax:937-773-8161
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH300167261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice