MEDICARE: DR. JAMES HOWARD MCMASTERS J.HOWARD MCMASTERS

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	4275	NC
2	1223G0001X	General Practice Dentistry	4275	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4275	OTHER	NC	LICENSE
2	95840	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619049244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HOWARD MCMASTERS J.HOWARD MCMASTERS

Provider Business Mailing Address
First Line	:	1037 HOMELAND AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-7003
Country	:	US
Telephone Number	:	336-272-0132
Fax Number	:	336-272-3644

Provider Business Practice Location Address
First Line	:	1037 HOMELAND AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-7003
Country	:	US
Telephone Number	:	336-272-0132
Fax Number	:	336-272-3644

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	04/23/2012

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