Provider Demographics
NPI:1225248438
Name:JAMES C DEE DMD
Entity Type:Organization
Organization Name:JAMES C DEE DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-694-2900
Mailing Address - Street 1:5608 PGA BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4121
Mailing Address - Country:US
Mailing Address - Phone:561-694-2900
Mailing Address - Fax:561-624-8276
Practice Address - Street 1:5608 PGA BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4121
Practice Address - Country:US
Practice Address - Phone:561-694-2900
Practice Address - Fax:561-624-8276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 9419122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty