SearchIndiana1223G0001X

James Douglas, D.D.S

NPI 1619144672 · on the registry since 2008 · sole proprietor

Practice

Address
820 E Colfax Ave
South Bend, IN 46617
Phone
(574) 289-5776
Fax
(574) 289-5777
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana