Provider Demographics
NPI:1558489211
Name:ORME, DONALD JOEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JOEL
Last Name:ORME
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2376
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96160-2376
Mailing Address - Country:US
Mailing Address - Phone:530-587-7683
Mailing Address - Fax:530-587-6397
Practice Address - Street 1:12020 DONNER PASS RD
Practice Address - Street 2:#101
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-4902
Practice Address - Country:US
Practice Address - Phone:530-587-2509
Practice Address - Fax:530-587-1056
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA209221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice