Theodore James, DDS

NPI 1841726593 · on the registry since 2017

Practice

Address: 2677 E 17th St Ste 600
Ammon, ID 83406
Phone: (208) 705-9652
Organisation at this address: Ridge Medical Group Pa
James Oral And Maxillofacial Surgery Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Also registered as: 1223S0112X
390200000X
Licence states on file: PA, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-12

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 Idaho