Provider Demographics
NPI:1205899408
Name:DAU, JAMES NORMAN III (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NORMAN
Last Name:DAU
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 NICOLLET AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1931
Mailing Address - Country:US
Mailing Address - Phone:612-866-0506
Mailing Address - Fax:612-866-4005
Practice Address - Street 1:5601 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-1931
Practice Address - Country:US
Practice Address - Phone:612-866-0506
Practice Address - Fax:612-866-4005
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist