Provider Demographics
NPI:1518081330
Name:JAMES R DEE JR DMD INC
Entity Type:Organization
Organization Name:JAMES R DEE JR DMD 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:R
Authorized Official - Last Name:DEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-733-2211
Mailing Address - Street 1:5290 LOGAN FERRY RD
Mailing Address - Street 2:STE D
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-8523
Mailing Address - Country:US
Mailing Address - Phone:724-733-2211
Mailing Address - Fax:724-327-4730
Practice Address - Street 1:5290 LOGAN FERRY RD
Practice Address - Street 2:STE D
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-8523
Practice Address - Country:US
Practice Address - Phone:724-733-2211
Practice Address - Fax:724-327-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty