Provider Demographics
NPI:1811020886
Name:MAGUIRE, JAMES M (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:MAGUIRE
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:31 MOUNTAIN BLVD
Mailing Address - Street 2:STE T
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059
Mailing Address - Country:US
Mailing Address - Phone:908-222-7922
Mailing Address - Fax:908-222-7923
Practice Address - Street 1:31 MOUNTAIN BLVD
Practice Address - Street 2:STE T
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059
Practice Address - Country:US
Practice Address - Phone:908-222-7922
Practice Address - Fax:908-222-7923
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJDI 0088381223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U20048Medicare UPIN