Healthcare Provider Details

I. General information

NPI: 1962476242
Provider Name (Legal Business Name): JAMES B HUTCHINSON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 UNION AVE SE
OLYMPIA WA
98501-1545
US

IV. Provider business mailing address

PO BOX 2619
OLYMPIA WA
98507-2619
US

V. Phone/Fax

Practice location:
  • Phone: 360-943-6111
  • Fax:
Mailing address:
  • Phone: 360-943-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE00005516
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: