Provider Demographics
NPI:1770825911
Name:JAMES W VUONA DDS PC
Entity Type:Organization
Organization Name:JAMES W VUONA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:VUONA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-791-7370
Mailing Address - Street 1:617 CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-1753
Mailing Address - Country:US
Mailing Address - Phone:508-791-7370
Mailing Address - Fax:508-791-0516
Practice Address - Street 1:617 CHANDLER ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-1753
Practice Address - Country:US
Practice Address - Phone:508-791-7370
Practice Address - Fax:508-791-0516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15894122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA=========Medicaid