Provider Demographics
NPI:1083918650
Name:JAMES A. UHRIK, D.D.S., INC.
Entity Type:Organization
Organization Name:JAMES A. UHRIK, D.D.S., INC.
Other - Org Name:CASTAIC DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:UHRIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-257-2300
Mailing Address - Street 1:31886 CASTAIC RD
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-3946
Mailing Address - Country:US
Mailing Address - Phone:661-257-2300
Mailing Address - Fax:661-257-2980
Practice Address - Street 1:31886 CASTAIC RD
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-3946
Practice Address - Country:US
Practice Address - Phone:661-257-2300
Practice Address - Fax:661-257-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA362921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty