MEDICARE: DR. DENNIS JAMES NORHEIM 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
1	1223G0001X	General Practice Dentistry	30723	CA

General Provider Information

NPI Number	:	1528107885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS JAMES NORHEIM D.D.S.

Provider Business Mailing Address
First Line	:	1000 S PALM CANYON DR STE 202
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-8317
Country	:	US
Telephone Number	:	760-325-2579
Fax Number	:	760-323-1826

Provider Business Practice Location Address
First Line	:	1000 S PALM CANYON DR STE 202
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-8317
Country	:	US
Telephone Number	:	760-325-2579
Fax Number	:	760-323-1826

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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