Provider Demographics
NPI:1437340650
Name:JAMES J CARDER DDS INC
Entity Type:Organization
Organization Name:JAMES J CARDER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-781-6412
Mailing Address - Street 1:4959 ARLINGTON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-2756
Mailing Address - Country:US
Mailing Address - Phone:951-781-6412
Mailing Address - Fax:951-781-6414
Practice Address - Street 1:4959 ARLINGTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-2756
Practice Address - Country:US
Practice Address - Phone:951-781-6412
Practice Address - Fax:951-781-6414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23712122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty