Healthcare Provider Details
I. General information
NPI: 1104929306
Provider Name (Legal Business Name): JAMES M FINLEY DMD MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
185 S BEADLE ROAD FINLEY PERIODONTICS PLLC
LAFAYETTE LA
70508
US
IV. Provider business mailing address
185 S BEADLE ROAD FINLEY PERIODONTICS PLLC
LAFAYETTE LA
70508
US
V. Phone/Fax
- Phone: 337-233-0440
- Fax: 337-233-6563
- Phone: 337-233-0440
- Fax: 337-233-6563
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | 5101 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: