Provider Demographics
NPI:1952798894
Name:JAMES B. DUHAMEL, DENTAL CORPORATION
Entity Type:Organization
Organization Name:JAMES B. DUHAMEL, DENTAL CORPORATION
Other - Org Name:SLEEP DENTAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:DUHAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-772-9600
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95252-0607
Mailing Address - Country:US
Mailing Address - Phone:209-772-9600
Mailing Address - Fax:209-772-8666
Practice Address - Street 1:13 MAIN ST
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95252-9299
Practice Address - Country:US
Practice Address - Phone:209-772-9600
Practice Address - Fax:209-772-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23820332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment