Provider Demographics
NPI:1568595692
Name:MUCCI, JAMES H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:MUCCI
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 1:4360 ARDEN WAY STE 5
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-3153
Mailing Address - Country:US
Mailing Address - Phone:916-481-0594
Mailing Address - Fax:916-481-2510
Practice Address - Street 1:4360 ARDEN WAY STE 5
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-3153
Practice Address - Country:US
Practice Address - Phone:916-481-0594
Practice Address - Fax:916-481-2510
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice