Provider Demographics
NPI:1639610041
Name:JAMES R NORRIS DDS MS PC
Entity Type:Organization
Organization Name:JAMES R NORRIS DDS MS PC
Other - Org Name:SPRING MOUNTAIN PERIODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:651-646-3252
Mailing Address - Street 1:1975 RESEARCH PKWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1025
Mailing Address - Country:US
Mailing Address - Phone:719-599-7760
Mailing Address - Fax:719-599-7490
Practice Address - Street 1:1975 RESEARCH PKWY
Practice Address - Street 2:SUITE 305
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1025
Practice Address - Country:US
Practice Address - Phone:719-599-7760
Practice Address - Fax:719-599-7490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN 00007926261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental