Provider Demographics
NPI:1346382140
Name:JAMES A MCNAMARA DDS PHD
Entity Type:Organization
Organization Name:JAMES A MCNAMARA DDS PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PHD
Authorized Official - Phone:734-668-8288
Mailing Address - Street 1:321 N INGALLS ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1513
Mailing Address - Country:US
Mailing Address - Phone:734-668-8288
Mailing Address - Fax:734-668-8110
Practice Address - Street 1:321 N INGALLS ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1513
Practice Address - Country:US
Practice Address - Phone:734-668-8288
Practice Address - Fax:734-668-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI094991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty