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NPI Code Detail

MEDICARE: DR. JAMES RICHARD PARDOE D.D.S.

MEDICARE: DR. JAMES RICHARD PARDOE D.D.S.
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
1122300000XDentist10882TX

General Provider Information

NPI Number : 1467476523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES RICHARD PARDOE D.D.S.
Provider Business Mailing Address
First Line : 3131 CUSTER RD.
Second Line : SUITE 230
City : PLANO
State : TX
Zip : 75075-4416
Country : US
Telephone Number : 972-964-8800
Fax Number :
Provider Business Practice Location Address
First Line : 3131 CUSTER RD.
Second Line : SUITE 230
City : PLANO
State : TX
Zip : 75075-4416
Country : US
Telephone Number : 972-964-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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