Provider Demographics
NPI:1184729055
Name:JAMES A CAREY JR DDS PA
Entity type:Organization
Organization Name:JAMES A CAREY JR DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARDEN
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:850-893-5177
Mailing Address - Street 1:1272 TIMBERLANE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312
Mailing Address - Country:US
Mailing Address - Phone:850-893-5177
Mailing Address - Fax:850-893-5788
Practice Address - Street 1:1272 TIMBERLANE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312
Practice Address - Country:US
Practice Address - Phone:850-893-5177
Practice Address - Fax:850-893-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty