Provider Demographics
NPI:1821210881
Name:CASEY, JAMES NEWMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NEWMAN
Last Name:CASEY
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 1:1950 S AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7835
Mailing Address - Country:US
Mailing Address - Phone:512-863-2303
Mailing Address - Fax:512-869-6292
Practice Address - Street 1:1950 S AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7835
Practice Address - Country:US
Practice Address - Phone:512-863-2303
Practice Address - Fax:512-869-6292
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice