Provider Demographics
NPI:1538143128
Name:CONNORS II, JAMES F (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:CONNORS II
Suffix:
Gender:M
Credentials:DMD, MD
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Mailing Address - Street 1:2 JUNGLE RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5208
Mailing Address - Country:US
Mailing Address - Phone:978-534-8300
Mailing Address - Fax:978-840-8508
Practice Address - Street 1:2 JUNGLE RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5208
Practice Address - Country:US
Practice Address - Phone:978-534-8300
Practice Address - Fax:978-840-8508
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2015-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA20897174400000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU96573Medicare UPIN