NPI Code Details Logo

NPI 1609059609

NPI 1609059609 : JAMES M. WENSINK DDS INC. : EUCLID, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609059609
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JAMES M. WENSINK DDS INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2007
-----------------------------------------------------
    Last Update Date     |    12/12/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19551 EUCLID AVE 
-----------------------------------------------------
    City                 |    EUCLID
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44117-1409
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    216-692-3777
-----------------------------------------------------
    Fax                  |    216-692-3688
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    19551 EUCLID AVE 
-----------------------------------------------------
    City                 |    EUCLID
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44117-1409
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    216-692-3777
-----------------------------------------------------
    Fax                  |    216-692-3688
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    DR. JAMES M. WENSINK 
-----------------------------------------------------
    Credential           |    D.D.S.
-----------------------------------------------------
    Telephone            |    216-692-3777
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    30-014999
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.