Provider Demographics
NPI:1437383668
Name:JAMES O. REDMOND, DDS, PA
Entity Type:Organization
Organization Name:JAMES O. REDMOND, DDS, PA
Other - Org Name:APPALACHIAN DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-369-0618
Mailing Address - Street 1:329 WESTGATE PLZ
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-9012
Mailing Address - Country:US
Mailing Address - Phone:828-369-0618
Mailing Address - Fax:828-349-4913
Practice Address - Street 1:329 WESTGATE PLZ
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-9012
Practice Address - Country:US
Practice Address - Phone:828-369-0618
Practice Address - Fax:828-349-4913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental