MEDICARE: DR. JAMES WILLIAM LOYE 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
1	122300000X	Dentist	DE 034874	CA

General Provider Information

NPI Number	:	1407940158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WILLIAM LOYE DDS

Provider Business Mailing Address
First Line	:	3830 VALLEY CENTRE DR STE 702
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-3307
Country	:	US
Telephone Number	:	858-792-9661
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 VALLEY CENTRE DR STE 702
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-3307
Country	:	US
Telephone Number	:	858-792-9661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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