Provider Demographics
NPI:1710027412
Name:THOMMES, JAMES EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:THOMMES
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 1:16 HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-3209
Mailing Address - Country:US
Mailing Address - Phone:847-362-7582
Mailing Address - Fax:
Practice Address - Street 1:770 BUSSE HWY
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-2441
Practice Address - Country:US
Practice Address - Phone:847-530-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-018689122300000X
MI2901017149122300000X
MA21475122300000X
MO2004032394122300000X
NY051850-1122300000X
CA52230122300000X
WI4884-015122300000X
CT009297122300000X
NJ22DI02132500122300000X
NMDD2474122300000X
AZD07630122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist