Provider Demographics
NPI:1942292982
Name:MULKEY, JAMES MICHAEL (DDS MS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:MULKEY
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:375 E PARK AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5012
Mailing Address - Country:US
Mailing Address - Phone:970-247-0240
Mailing Address - Fax:970-259-9004
Practice Address - Street 1:375 E PARK AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5012
Practice Address - Country:US
Practice Address - Phone:970-247-0240
Practice Address - Fax:970-259-9004
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COHDL - 813204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery