Provider Demographics
NPI:1245429851
Name:JAMES E. ROYER, D.M.D., PC
Entity Type:Organization
Organization Name:JAMES E. ROYER, D.M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-676-3041
Mailing Address - Street 1:1010 GAR HWY
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-4566
Mailing Address - Country:US
Mailing Address - Phone:508-676-3041
Mailing Address - Fax:508-678-0222
Practice Address - Street 1:1010 GAR HWY
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4566
Practice Address - Country:US
Practice Address - Phone:508-676-3041
Practice Address - Fax:508-678-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19422261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU82143Medicare UPIN