Provider Demographics
NPI:1275646275
Name:DOOSE, JAMES MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:DOOSE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2235 THOUSAND OAKS DR
Mailing Address - Street 2:SUITE 122
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3966
Mailing Address - Country:US
Mailing Address - Phone:210-490-1133
Mailing Address - Fax:210-490-6028
Practice Address - Street 1:2235 THOUSAND OAKS DR
Practice Address - Street 2:SUITE 122
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3966
Practice Address - Country:US
Practice Address - Phone:210-490-1133
Practice Address - Fax:210-490-6028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX186661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry