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NPI Code Detail

MEDICARE: DR. JAMES BENJAMIN QUARTEY DDS

MEDICARE: DR. JAMES BENJAMIN QUARTEY 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 Dentistry20139TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120139OTHERTXSTATE DENTAL LICENSE #
2HO116178OTHERTXDPS REG. #

General Provider Information

NPI Number : 1053322362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BENJAMIN QUARTEY DDS
Provider Business Mailing Address
First Line : 228 SAINT GEORGE ST
Second Line :
City : GONZALES
State : TX
Zip : 78629-3910
Country : US
Telephone Number : 830-672-6511
Fax Number : 830-672-6430
Provider Business Practice Location Address
First Line : 228 SAINT GEORGE ST
Second Line :
City : GONZALES
State : TX
Zip : 78629-3910
Country : US
Telephone Number : 830-672-6511
Fax Number : 830-672-6430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 03/07/2023

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