Healthcare Provider Details

I. General information

NPI: 1659335057
Provider Name (Legal Business Name): JAMES ALLEN RANNES D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 SYCAMORE ST
NEW RICHMOND OH
45157-1145
US

IV. Provider business mailing address

523 SYCAMORE ST
NEW RICHMOND OH
45157-1145
US

V. Phone/Fax

Practice location:
  • Phone: 513-553-2666
  • Fax: 513-553-2666
Mailing address:
  • Phone: 513-553-2666
  • Fax: 513-553-2666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30019733
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: