Provider Demographics
NPI:1467908921
Name:JAMES P. DOROSH DDS
Entity Type:Organization
Organization Name:JAMES P. DOROSH DDS
Other - Org Name:DOROSH DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:DOROSH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-467-1000
Mailing Address - Street 1:10121 N NEVADA ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-3120
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10121 N NEVADA ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-3120
Practice Address - Country:US
Practice Address - Phone:509-467-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty