Provider Demographics
NPI:1891920419
Name:JAMES E. METZ
Entity Type:Organization
Organization Name:JAMES E. METZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-252-4444
Mailing Address - Street 1:1271 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1429
Mailing Address - Country:US
Mailing Address - Phone:614-252-4444
Mailing Address - Fax:614-252-6474
Practice Address - Street 1:1271 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1429
Practice Address - Country:US
Practice Address - Phone:614-252-4444
Practice Address - Fax:614-252-6474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300143081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty