Healthcare Provider Details

I. General information

NPI: 1609961200
Provider Name (Legal Business Name): JAMES CARL LEAMEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 EL DORADO
MONTEREY CA
93940
US

IV. Provider business mailing address

275 EL DORADO
MONTEREY CA
93940
US

V. Phone/Fax

Practice location:
  • Phone: 831-372-9391
  • Fax: 831-372-9066
Mailing address:
  • Phone: 831-372-9391
  • Fax: 831-372-9066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number47510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: