Provider Demographics
NPI:1265470587
Name:PATSIS, JAMES (DDS, MBA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:PATSIS
Suffix:
Gender:M
Credentials:DDS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S GEORGE ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1408
Mailing Address - Country:US
Mailing Address - Phone:717-801-4855
Mailing Address - Fax:717-718-1317
Practice Address - Street 1:116 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1408
Practice Address - Country:US
Practice Address - Phone:717-845-8617
Practice Address - Fax:717-718-1317
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA161708OtherUNISON
PA1667162OtherUNITED CONCORDIA
PA231148OtherDENTAL BENEFIT PROVIDERS
PA9178185OtherDORAL DENTAL
PADS036360OtherDELTA DENTAL