Provider Demographics
NPI:1275765919
Name:DAYLEY, JAMES M (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:DAYLEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:MILES
Other - Last Name:DAYLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:8900 CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6326
Mailing Address - Country:US
Mailing Address - Phone:805-403-2676
Mailing Address - Fax:
Practice Address - Street 1:8900 CARDINAL AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6326
Practice Address - Country:US
Practice Address - Phone:805-403-2676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7405372-99211223G0001X
CA645671223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice