MEDICARE: JAMES STOWITTS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4497	AZ

General Provider Information

NPI Number	:	1356451256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES STOWITTS DDS

Provider Business Mailing Address
First Line	:	7500 E MCDONALD DR STE 101B
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-6000
Country	:	US
Telephone Number	:	480-998-2233
Fax Number	:	480-948-5153

Provider Business Practice Location Address
First Line	:	7500 E MCDONALD DR STE 101B
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-6000
Country	:	US
Telephone Number	:	480-998-2233
Fax Number	:	480-948-5153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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