Provider Demographics
NPI:1770615692
Name:JAMES E. DICKEY D.D.S. A.P.C.
Entity type:Organization
Organization Name:JAMES E. DICKEY D.D.S. A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:213-383-4151
Mailing Address - Street 1:3660 WILSHIRE BLVD STE 1026
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2751
Mailing Address - Country:US
Mailing Address - Phone:213-383-4151
Mailing Address - Fax:213-383-9490
Practice Address - Street 1:3660 WILSHIRE BLVD STE 1026
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2751
Practice Address - Country:US
Practice Address - Phone:213-383-4151
Practice Address - Fax:213-383-9490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty