Provider Demographics
NPI:1770595662
Name:SLEPSKI, JAMES MARTIN (DDS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:SLEPSKI
Suffix:
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 1:5171 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-2639
Mailing Address - Country:US
Mailing Address - Phone:951-785-1209
Mailing Address - Fax:951-785-4946
Practice Address - Street 1:5171 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-2639
Practice Address - Country:US
Practice Address - Phone:951-785-1209
Practice Address - Fax:951-785-4946
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30737122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist