Provider Demographics
NPI:1417399049
Name:JAMES HO, D.M.D., P.A
Entity Type:Organization
Organization Name:JAMES HO, D.M.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-322-1688
Mailing Address - Street 1:430 WAYMONT CT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-6745
Mailing Address - Country:US
Mailing Address - Phone:407-322-1688
Mailing Address - Fax:407-322-1684
Practice Address - Street 1:430 WAYMONT CT
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6745
Practice Address - Country:US
Practice Address - Phone:407-322-1688
Practice Address - Fax:407-322-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty