Provider Demographics
NPI:1568648905
Name:DAY, JAMIE MICHELE (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:MICHELE
Last Name:DAY
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CAMBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-2812
Mailing Address - Country:US
Mailing Address - Phone:304-842-6333
Mailing Address - Fax:304-842-8558
Practice Address - Street 1:106 CAMBRIDGE PL
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-2812
Practice Address - Country:US
Practice Address - Phone:304-842-6333
Practice Address - Fax:304-842-8558
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV36411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics