Provider Demographics
NPI:1942341052
Name:CECCHINI, JAMES J JR (DDS,PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:CECCHINI
Suffix:JR
Gender:M
Credentials:DDS,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73733 FRED WARING DR STE 207
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2591
Mailing Address - Country:US
Mailing Address - Phone:760-773-0052
Mailing Address - Fax:760-773-0710
Practice Address - Street 1:73733 FRED WARING DR STE 207
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2591
Practice Address - Country:US
Practice Address - Phone:760-773-0052
Practice Address - Fax:760-773-0710
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist