Provider Demographics
NPI:1831408533
Name:CASE, JAMES H JR (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:CASE
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:H
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:11000 LIPSCOMB ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-1511
Mailing Address - Country:US
Mailing Address - Phone:907-244-4832
Mailing Address - Fax:
Practice Address - Street 1:11000 LIPSCOMB ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-1511
Practice Address - Country:US
Practice Address - Phone:907-244-4832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK4191223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDD0419Medicaid