Provider Demographics
NPI:1659064889
Name:JAMES OHM, DMD, P.A.
Entity Type:Organization
Organization Name:JAMES OHM, DMD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:OHM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:252-446-0714
Mailing Address - Street 1:1543 BENVENUE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-6383
Mailing Address - Country:US
Mailing Address - Phone:252-446-0714
Mailing Address - Fax:
Practice Address - Street 1:1543 BENVENUE RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-6383
Practice Address - Country:US
Practice Address - Phone:252-446-0714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty