Provider Demographics
NPI:1669685855
Name:REDMOND, JAMES O (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:O
Last Name:REDMOND
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:90 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-8906
Mailing Address - Country:US
Mailing Address - Phone:828-389-2480
Mailing Address - Fax:828-349-4913
Practice Address - Street 1:329 WESTGATE PLZ
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-9012
Practice Address - Country:US
Practice Address - Phone:828-369-0618
Practice Address - Fax:828-349-4913
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC78261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice