Provider Demographics
NPI:1073687877
Name:EASH, JAMES E (DDS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:EASH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 AIGNER DR
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47601
Mailing Address - Country:US
Mailing Address - Phone:812-897-1410
Mailing Address - Fax:812-897-1464
Practice Address - Street 1:911 AIGNER DR
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601
Practice Address - Country:US
Practice Address - Phone:812-897-1410
Practice Address - Fax:812-897-1464
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008687122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist