Provider Demographics
NPI:1972718914
Name:JAMES C. TROUTEN, D.D.S., M.S., INC.
Entity Type:Organization
Organization Name:JAMES C. TROUTEN, D.D.S., M.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLYDE
Authorized Official - Last Name:TROUTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-942-8300
Mailing Address - Street 1:4230 STATE ROUTE 306
Mailing Address - Street 2:SUITE 190
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9274
Mailing Address - Country:US
Mailing Address - Phone:440-942-8300
Mailing Address - Fax:440-918-1600
Practice Address - Street 1:4230 STATE ROUTE 306
Practice Address - Street 2:SUITE 190
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9274
Practice Address - Country:US
Practice Address - Phone:440-942-8300
Practice Address - Fax:440-918-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-47231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty