Healthcare Provider Details

I. General information

NPI: 1356554828
Provider Name (Legal Business Name): JAMES ROBERT NORRIS D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 RESEARCH PKWY STE 305
COLORADO SPRINGS CO
80920-1025
US

IV. Provider business mailing address

1975 RESEARCH PKWY STE 305
COLORADO SPRINGS CO
80920-1025
US

V. Phone/Fax

Practice location:
  • Phone: 719-599-7760
  • Fax: 719-599-7490
Mailing address:
  • Phone: 719-599-7760
  • Fax: 719-599-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number7926
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: