Provider Demographics
NPI:1275684029
Name:SZANA, JAMES CEDRIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CEDRIC
Last Name:SZANA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 79
Mailing Address - Street 2:609 GARFIELD AVE
Mailing Address - City:MURDO
Mailing Address - State:SD
Mailing Address - Zip Code:57559
Mailing Address - Country:US
Mailing Address - Phone:605-669-2131
Mailing Address - Fax:
Practice Address - Street 1:609 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:MURDO
Practice Address - State:SD
Practice Address - Zip Code:57559
Practice Address - Country:US
Practice Address - Phone:605-669-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist