MEDICARE: DR. JAMES CHARLES DEE D.M.D.

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	DN 9419	FL

General Provider Information

NPI Number	:	1629279708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHARLES DEE D.M.D.

Provider Business Mailing Address
First Line	:	5608 PGA BLVD
Second Line	:	SUITE 108
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4121
Country	:	US
Telephone Number	:	561-694-2900
Fax Number	:	561-624-8276

Provider Business Practice Location Address
First Line	:	5029 WHISPERING HOLW
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3537
Country	:	US
Telephone Number	:	561-694-1769
Fax Number	:	561-627-4575

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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