Healthcare Provider Details

I. General information

NPI: 1831235431
Provider Name (Legal Business Name): JAMES A HURM D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3588 SPRINGHURST BLVD
LOUISVILLE KY
40241-4141
US

IV. Provider business mailing address

3606 HYCLIFFE AVE
LOUISVILLE KY
40207-3716
US

V. Phone/Fax

Practice location:
  • Phone: 502-327-6755
  • Fax: 502-327-6694
Mailing address:
  • Phone: 502-376-1282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7668
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: