Provider Demographics
NPI:1750324810
Name:HOMON, JAMES A (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:HOMON
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:10401 SAWMILL PKWY
Mailing Address - Street 2:STE. 50
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7451
Mailing Address - Country:US
Mailing Address - Phone:614-932-9356
Mailing Address - Fax:614-932-9361
Practice Address - Street 1:10401 SAWMILL PKWY
Practice Address - Street 2:STE. 50
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7451
Practice Address - Country:US
Practice Address - Phone:614-932-9356
Practice Address - Fax:614-932-9361
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2012-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH208321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics