Provider Demographics
NPI:1649497421
Name:JAMES M ISETT DDS PC
Entity type:Organization
Organization Name:JAMES M ISETT DDS PC
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:M
Authorized Official - Last Name:ISETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-244-8537
Mailing Address - Street 1:622 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RED LION
Mailing Address - State:PA
Mailing Address - Zip Code:17356
Mailing Address - Country:US
Mailing Address - Phone:717-244-8537
Mailing Address - Fax:717-244-6711
Practice Address - Street 1:622 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356
Practice Address - Country:US
Practice Address - Phone:717-244-8537
Practice Address - Fax:717-244-6711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty