Provider Demographics
NPI:1780657130
Name:SCIUBBA, JAMES JOHN (DMD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOHN
Last Name:SCIUBBA
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Gender:M
Credentials:DMD, PHD
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Mailing Address - Street 1:9515 DEERECO RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2116
Mailing Address - Country:US
Mailing Address - Phone:410-252-4885
Mailing Address - Fax:410-252-0431
Practice Address - Street 1:9515 DEERECO RD
Practice Address - Street 2:SUITE 308
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2116
Practice Address - Country:US
Practice Address - Phone:410-252-4885
Practice Address - Fax:410-252-0431
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2013-07-16
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Provider Licenses
StateLicense IDTaxonomies
MD137721223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology