Provider Demographics
NPI:1134229446
Name:FLYNN, JAMES BERNARD (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BERNARD
Last Name:FLYNN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2237 CROCKER ROAD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:440-899-7188
Mailing Address - Fax:440-899-1288
Practice Address - Street 1:2237 CROCKER ROAD
Practice Address - Street 2:SUITE 130
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-899-7188
Practice Address - Fax:440-899-1288
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH216701223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics