Provider Demographics
NPI:1487769303
Name:MCCONNELL, JAMES FARRELL III (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FARRELL
Last Name:MCCONNELL
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:220 MILLPOND
Mailing Address - Street 2:#107
Mailing Address - City:STANSBURY PARK
Mailing Address - State:UT
Mailing Address - Zip Code:84074-9745
Mailing Address - Country:US
Mailing Address - Phone:435-882-2850
Mailing Address - Fax:435-843-8852
Practice Address - Street 1:220 MILLPOND
Practice Address - Street 2:#107
Practice Address - City:STANSBURY PARK
Practice Address - State:UT
Practice Address - Zip Code:84074-9745
Practice Address - Country:US
Practice Address - Phone:435-882-2850
Practice Address - Fax:435-843-8852
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2024-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV45841223G0001X
UT3698731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice