Healthcare Provider Details

I. General information

NPI: 1245459031
Provider Name (Legal Business Name): JAMES E. MAAS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 CENTER POINT RD NE
CEDAR RAPIDS IA
52402-4037
US

IV. Provider business mailing address

3031 CENTER POINT RD NE
CEDAR RAPIDS IA
52402-4037
US

V. Phone/Fax

Practice location:
  • Phone: 319-364-3221
  • Fax: 319-364-1860
Mailing address:
  • Phone: 319-364-3221
  • Fax: 319-364-1860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7944
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: