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NPI Code Detail

MEDICARE: JAMES HUSEMAN DDS

MEDICARE:   JAMES  HUSEMAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12010876AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112010876AOTHERINJAMES A. HUSEMAN

General Provider Information

NPI Number : 1023237963
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES HUSEMAN DDS
Provider Business Mailing Address
First Line : 485 NOBLE CREEK DR
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-3108
Country : US
Telephone Number : 131-777-0124
Fax Number :
Provider Business Practice Location Address
First Line : 485 NOBLE CREEK DR
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-3108
Country : US
Telephone Number : 131-777-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/08/2007

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