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Theodore James, DDS
Oral and Maxillofacial Surgery (Dentist) in Ammon, Idaho
NPI 1841726593

Theodore James is a Oral and Maxillofacial Surgery (Dentist) based in Ammon, ID and is specialized in Oral and Maxillofacial Surgery. Theodore James practices in Ammon, ID and has the professional credentials of DDS. The NPI Number for Theodore James is 1841726593 and holds a License No. DS041404 (Idaho).

The current practice location address for Theodore James is 2677 E 17Th St Ste 600, Ammon, ID and can be reached out via phone at 208-705-9652.

Location: 2677 E 17Th St Ste 600, Ammon, ID, 83406-6619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841726593
Provider Name
Theodore James
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2677 E 17Th St Ste 600, Ammon, ID, 83406-6619
Phone Number
208-705-9652
Fax Number
Provider Enumeration Date
05/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2677 E 17Th St Ste 600
City
Ammon
State
Idaho
Zip
83406-6619
Phone Number
208-705-9652
Fax Number
person
Provider Business Mailing Address Details
Address
2677 E 17Th St Ste 600
City
Ammon
State
Idaho
Zip
83406-6619
Phone Number
208-705-9652
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DS041404 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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