Provider Demographics
NPI:1730133406
Name:COYNE, JAMES HARRISON (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HARRISON
Last Name:COYNE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 N LOXAHATCHEE DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3584
Mailing Address - Country:US
Mailing Address - Phone:561-747-5202
Mailing Address - Fax:561-747-7403
Practice Address - Street 1:24 N LOXAHATCHEE DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3584
Practice Address - Country:US
Practice Address - Phone:561-747-5202
Practice Address - Fax:561-747-7403
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0076771223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery